DR. CARMEN SOFIA MARTINEZ (NPI# 1023249059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023249059 |
Entity Type | Individual |
Full Name | DR. CARMEN SOFIA MARTINEZ |
Other Name | DR. CARMEN SOFIA MARTINEZ VILLAR |
Credential | M.D. |
Practice Address |
445 Winn Way Dekalb Community Service Board Decatur GA 30030-1707 |
Practice Telephone | 4045087700 |
Mailing Telephone | 4045087700 |
Enumeration Date | 2009-08-08 |
Last Update Date | 2012-07-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
67826 | GA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407393002 | Carmen Martinez | Behavior Technician | 4441 Campus Cir, Las Vegas, NV 89121-5344 | 2017-01-21 |
1710394812 | Carmen G Martinez | Counselor | 875 Cambridge Pl, Wheeling, IL 60090-2613 | 2014-07-21 |
1306157276 | Carmen Lizette Martinez | Pharmacy Technician | St. #2, Km 65.6 Bo. Factor I Suite 201, Arecibo, PR 00613 | 2010-06-25 |
1467692608 | Carmen M. Martinez | Social Worker | 25 Brisman Dr, Thiells, NY 10984-1441 | 2009-02-28 |
1770747248 | Carmen Ivonne Martinez | Psychologist | Calle Lolin Miranda Bloq 7 Num 12, Suite 101, Bayamon, PR 00959 | 2008-07-15 |
1235205048 | Carmen Laura Martinez | Psychiatry & Neurology | Calle Bahuinia Z 977 Loiza Valley, Canovanas, PR 00729 | 2006-11-27 |
1225036361 | Carmen E Martinez | Dentist | 1533 S Brownlee Blvd, Corpus Christi, TX 78404-3131 | 2005-07-12 |
1326678814 | Carmen Martinez | Speech-Language Pathologist | 7901 Poplar Ave, Germantown, TN 38138-5006 | 2020-01-23 |
1013555275 | Carmen Martinez | Physical Therapy Assistant | 11501 Sw 40th St, Miami, FL 33165-3313 | 2019-12-18 |
1730726282 | Carmen Lisa Martinez | Behavior Technician | 12235 Beach Blvd, Stanton, CA 90680-3939 | 2019-12-03 |
Street Address |
445 WINN WAY DEKALB COMMUNITY SERVICE BOARD |
City | DECATUR |
State | GA |
Zip Code | 30030-1707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770588691 | Nancy S Koughan | Preventive Medicine | 445 Winn Way, Decatur, GA 30030-1707 | 2005-06-16 |
1699372342 | Marteia Wells | Social Worker | 445 Winn Way, Decatur, GA 30030-1707 | 2020-10-06 |
1205440831 | Trikella T Jones | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-09-01 |
1376166611 | Rashanna Ratliff | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-05-21 |
1710513783 | Mary L Locke | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2020-03-20 |
1306477138 | Obiageri Ohayagha | Nurse Practitioner | 445 Winn Way, Decatur, GA 30030-1707 | 2020-01-30 |
1053959254 | John Francis Beltrami | Preventive Medicine | 445 Winn Way, Decatur, GA 30030-1707 | 2019-12-18 |
1609411172 | Jean Lehmann | Dietitian, Registered | 445 Winn Way, Decatur, GA 30030-1707 | 2019-11-08 |
1437709086 | Joseph Pfeffer | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2019-09-16 |
1760047013 | Karen Brown Taylor | Counselor | 445 Winn Way, Decatur, GA 30030-1707 | 2019-05-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
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Taxonomy Code | 2084P0802X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Psychiatry |
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346253309 | John L Moseri | Psychiatry & Neurology | 4540 Glenwood Rd, Decatur, GA 30032-5166 | 2006-08-14 |
1508184672 | Sandra Lee Chapkowski | Psychiatry & Neurology | 445 Winn Way, Decatur, GA 30030-1707 | 2010-05-13 |
1598889420 | Michael Roy Vaughn | Psychiatry & Neurology | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2007-03-17 |
1710092051 | Karen Drexler | Psychiatry & Neurology | 1670 Clairmont Rd, Substance Abuse Treatment Program (116a3), Decatur, GA 30033-4004 | 2006-08-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821393380 | Tifton Addiction Associates, LLC. D/b/a Tlc Clinic | Psychiatry & Neurology | 2402 North Tift Ave Suite 202, Tifton, GA 31794 | 2011-01-14 |
1578754503 | Omobolaji Oluseyi Oyebanjo Popoola | Psychiatry & Neurology | 307 Old Stone Rd, Villa Rica, GA 30180-1214 | 2007-08-06 |
1760517254 | Todd Estroff | Psychiatry & Neurology | 627 Old Ivy Rd Ne, Atlanta, GA 30342-4319 | 2007-02-23 |
1861534802 | Joseph Francis Griffin IIi | Psychiatry & Neurology | 1677 East Clifton Rd, Atlanta, GA 30307-1289 | 2007-02-13 |
1710997069 | Ayman Mohsen Fareed | Psychiatry & Neurology | 330 Mount Sinai Dr, Dahlonega, GA 30533-2367 | 2006-08-09 |
1639112584 | Susan Kaye Blank | Psychiatry & Neurology | 1846 Old Norcross Rd, Suite 100, Lawrenceville, GA 30044-8801 | 2006-06-14 |
1194716282 | Ramachandra R Paidi | Psychiatry & Neurology | 106 Queen St, Suite 1a, Vidalia, GA 30474-4210 | 2005-10-29 |
1396389185 | Keystone Psychiatric Care LLC | Psychiatry & Neurology | 11030 Jones Bridge Rd Ste 301, Johns Creek, GA 30022-4560 | 2019-11-05 |
1841672789 | Joseph Emmanuel Mathias | Psychiatry & Neurology | 12 Executive Park Dr Ne, Atlanta, GA 30329-2206 | 2015-06-28 |
1093067084 | Kambiz Aflatoon Do | Psychiatry & Neurology | 2150 Peachford Rd, Suite A, Atlanta, GA 30338-6520 | 2012-10-15 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.