MARY KATHLEEN MARTIN NURSE PRACTITIONER IN PSYCHIATRY, PLLC
NPI 1578921623
Psychologist - Prescribing (Medical) in Riverhead, NY
NPI Status: Active since February 04, 2016
Contact Information
21 W 2ND ST
SUITE 11
RIVERHEAD, NY
ZIP 11901
Phone: (631) 624-7839
Fax: (631) 865-5857
- Organization
- Psychologist
- Prescribing (Medical)
About MARY KATHLEEN MARTIN NURSE PRACTITIONER IN PSYCHIATRY, PLLC
This page provides the complete NPI Profile along with additional information for Mary Kathleen Martin Nurse Practitioner In Psychiatry, Pllc, a provider established in Riverhead, New York operating as a Psychologist, focusing in prescribing (medical) . The healthcare provider is registered in the NPI registry with number 1578921623 assigned on February 2016. The practitioner's primary taxonomy code is 103TP0016X with license number 401909 (NY). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mary Martin Np (Owner)
- NPI
- 1578921623
- Provider Name
- MARY KATHLEEN MARTIN NURSE PRACTITIONER IN PSYCHIATRY, PLLC
- Entity Type
- Organization
- Location Address
- 21 W 2ND ST SUITE 11 RIVERHEAD, NY 11901
- Location Phone
- (631) 624-7839
- Location Fax
- (631) 865-5857
- Mailing Address
- 375 W MILL RD MATTITUCK, NY 11952
- Mailing Phone
- (631) 766-3210
- Mailing Fax
- (631) 865-5857
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-04-2016
- Last Update Date
- 02-04-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Prescribing (Medical)
- Taxonomy Code
- 103TP0016X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 401909
- License State
- NY
- Taxonomy Description
- A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13554525 | OTHER (01) | NY | CAQH |
| 363LA2200X | MEDICARE PIN (08) | NY |
Reviews for MARY KATHLEEN MARTIN NURSE PRACTITIONER IN PSYCHIATRY, PLLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 7 | 8 | 9 | 2 | 1 | 6 | 2 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 18 | 2 | 2 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 1 + 8 + 2 + 2 + 6 + 4 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1578921623 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1548213747 | DONNA KRAMER LCSW-R Individual | Social Worker (Clinical) | 21 W 2ND ST RIVERHEAD, NY 11901 (631) 369-7307 |
| 1578825790 | PRISCILLA A. LINGARD, LCSW CASAC P.C. Organization | Social Worker (Clinical) | 21 W 2ND ST RIVERHEAD, NY 11901 (631) 506-2042 |
| 1548405673 | MRS. CARRIE ANN EDINGTON LMHC Individual | Counselor (Mental Health) | 21 W 2ND ST SUITE 6 RIVERHEAD, NY 11901 (631) 745-3748 |
| 1770986796 | EAST END NUTRITION, PLLC Organization | Dietitian, Registered | 21 W 2ND ST RIVERHEAD, NY 11901 (631) 740-9330 |
| 1033428511 | MS. EILEEN MANGINO LCSW Individual | Social Worker (Clinical) | 21 W 2ND ST RIVERHEAD, NY 11901 (631) 495-0372 |
| 1619365624 | CHRISTINE MCDERMOTT MS, RD, CDE, CDN Individual | Dietitian, Registered | 21 W 2ND ST RIVERHEAD, NY 11901 (631) 740-9330 |
| 1376179408 | RICHARD TANZILLO H.I.S Individual | Hearing Instrument Specialist | 21 W 2ND ST RIVERHEAD, NY 11901 (631) 369-2038 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578921623, enumerated in the NPI registry as an "organization" on February 04, 2016
The provider is located at 21 W 2nd St Suite 11 Riverhead, Ny 11901 and the phone number is (631) 624-7839
This medical organization specializes in Psychologist with taxonomy code 103TP0016X with a focus in Prescribing (Medical)
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 04, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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