DR. ANGEL R MARTINEZ PH.D. - NPI 1053429894

Q: What is Angel Martinez's NPI number?

The NPI number for Angel Martinez is 1053429894. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Q: What is Angel Martinez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Angel Martinez was last updated on October 30, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Angel R Martinez Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANGEL R MARTINEZ PH.D. (NPI 1053429894) is an individual clinical child & adolescent provider in Largo, Florida, licensed in Florida (1958) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053429894

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. ANGEL R MARTINEZCredential: PH.D.

Location Address10333 SEMINOLE BLVD, SUITE # 6Largo, FL 33778-4210

Mailing Address10333 Seminole BlvdLargo, FL 33778-4210 · (727) 319-3020 · Fax (717) 319-3040

Phone(727) 319-3020

Fax(727) 319-3040

Sole ProprietorYes

Enumeration DateAugust 29, 2006

Last NPPES UpdateOctober 30, 2007

✔ NPI 1053429894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Licenses✔ Licensed in FL · 1958✔ Licensed in NH · 503

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 503 (NH)

10333 SEMINOLE BLVD, Largo, FL 33778

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Other Identifiers 3

Medicaid30003798NH

Other313215FL · Amerigroup

Medicare ID-Type UnspecifiedRE3099NH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Angel R Martinez Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.