PATRICIA MARTIN PROFESSIONAL CORPORATION (NPI# 1073145850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073145850 |
| Entity Type | Organization |
| Organization Name | PATRICIA MARTIN PROFESSIONAL CORPORATION |
| Practice Address |
800 E High St Charlottesville VA 22902-5126 |
| Practice Telephone | 3109912632 |
| Mailing Telephone | 3109912632 |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-02-10 |
| Authorized Official Name | DR. PATRICIA MARTIN (PRESIDENT) |
| Authorized Official Telephone | 3109912632 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Patricia Martin | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11911 San Vicente Blvd Ste 240, Los Angeles, CA 900496619 | 3109912632 |
| Street Address |
800 E HIGH ST |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22902-5126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
| 1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
| 1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
| 1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
| 1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
| 1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
| 1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
| 1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
| Find all providers in zip 22902 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305464 | Jacqueline Diana Alexander | Psychologist | 225 Reserve Blvd Apt 303, Charlottesville, VA 22901-1665 | 2020-04-22 |
| 1821345364 | Anne-lise Smith | Psychologist | 302 Park St, Charlottesville, VA 22902-5113 | 2012-08-14 |
| 1992004188 | Gary Pelton | Psychologist | 2000 Michie Dr, Charlottesville, VA 22901-2821 | 2011-03-28 |
| 1629387279 | Brandon Phillips | Psychologist | 90 Whitewood Rd Ste 4, Charlottesville, VA 22901-1668 | 2010-09-30 |
| 1659438398 | Associates Clinicians of Virginia Inc. | Psychologist | 918 91/2 Street, Charlottesville, VA 22902 | 2007-01-02 |
| 1972673036 | Bonny Gale Bronson | Psychologist | 920 9 1 2 St Ne, Charlottesville, VA 22902-5311 | 2006-11-08 |
| 1144312273 | Hope Beth Bagley | Psychologist | 922 91/2 St Ne, Charlottesville, VA 22902 | 2006-09-28 |
| 1447353073 | Janet Clare Venus | Psychologist | 690 Berkmar Circle, Charlottesville, VA 22901 | 2006-09-07 |
| 1417563180 | Caitlin E Anderson | Psychologist | 1204 W Main St, Charlottesville, VA 22903-2824 | 2020-09-18 |
| 1891258398 | Joseph S Tan | Psychologist | 1221 Lee Street, Charlottesville, VA 22908-0816 | 2019-04-11 |
| Find all providers in CHARLOTTESVILLE | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22902 |
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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.