MARY MARTY (NPI# 1356449391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356449391 |
| Entity Type | Individual |
| Full Name | MARY MARTY |
| Other Name | MARY GESKE |
| Credential | LP |
| Practice Address |
102 Marty Dr Buffalo MN 55313 |
| Practice Telephone | 7636825420 |
| Practice Fax Number | 7636825803 |
| Mailing Telephone | 7636825420 |
| Mailing Fax Number | 7636825803 |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | LP3295 | MN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | PREFERRED ONE | 1007832 | 01 |
| MN | MEDICA | 62-00625 | 01 |
| MN | BLUE CROSS BLUE SHIELD | 67D67MA | 01 |
| MN | UCARE | 110564 | 01 |
| MN | HEALTHPARTNERS | HP18920 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952647547 | Mary Elizabeth Marty | Registered Nurse | 1050 Division St, Mauston, WI 53948-1931 | 2012-12-31 |
| Street Address |
102 MARTY DR |
| City | BUFFALO |
| State | MN |
| Zip Code | 55313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750483269 | Family Counseling Center Inc | Psychologist | 102 Marty Dr, Buffalo, MN 55313-9305 | 2006-09-04 |
| 1699280321 | Stacia Wakefield | Counselor | 102 Marty Dr, Buffalo, MN 55313-9305 | 2017-12-04 |
| 1699190488 | Brenner Dental Group | Clinic/Center | 102 Marty Dr, Suite 3, Buffalo, MN 55313-9305 | 2014-03-03 |
| 1750582193 | Buffalo Dental Center | Dentist | 102 Marty Dr, Buffalo, MN 55313-9305 | 2007-05-31 |
| 1871657817 | Gregory W Dunn | Dentist | 102 Marty Dr, Buffalo, MN 55313-9305 | 2006-12-21 |
| 1700955259 | Amy Clark | Social Worker | 102 Marty Dr, Buffalo, MN 55313-9305 | 2006-11-07 |
| 1548368582 | Lorraine Hoffman | Psychologist | 102 Marty Dr, Buffalo, MN 55313 | 2006-09-21 |
| 1801994843 | Mark Pederson | Psychologist | 102 Marty Dr, Buffalo, MN 55313 | 2006-09-21 |
| 1982702924 | David Schmitt | Social Worker | 102 Marty Dr, Buffalo, MN 55313-9305 | 2006-09-21 |
| 1821196882 | Kathryn Kaminski-schmidt | Social Worker | 102 Marty Dr, Buffalo, MN 55313-9305 | 2006-09-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757667 | Roers Senior Living Buffalo LLC | Assisted Living Facility | 150 Division Street East, Buffalo, MN 55313 | 2020-07-13 |
| 1386279610 | Julie Lee | Pharmacist | 1300 Hwy 55, Buffalo, MN 55313 | 2020-03-06 |
| 1023510591 | Brenda Renee Bakken | Licensed Practical Nurse | 25 1st Ave Ne Suite 100, Buffalo, MN 55313 | 2018-03-01 |
| 1760938716 | Karen Kahler | Counselor | 1772 Donnelly Dr Nw, Buffalo, MN 55313 | 2016-08-30 |
| 1235514118 | Minnesota Teen Challenge, Inc. | Exclusive Provider Organization | 100 Garrison Ave Ne, Buffalo, MN 55313 | 2015-07-21 |
| 1912391723 | Cassandra Loeffler | Chiropractor | 1200 Mn 25, Buffalo, MN 55313 | 2015-03-19 |
| 1134531395 | Total Health and Wellness, Inc. | Chiropractor | 639 Ryan's Way, Buffalo, MN 55313 | 2014-05-22 |
| 1366797946 | Brenda Kay Lenz | Nurse Practitioner | 755 Crossroads Campus Dr Ne, Buffalo, MN 55313 | 2012-07-19 |
| 1801190327 | Professional Counseling Center | Community/Behavioral Health | 7 Highway 55 West, Unit 3, Wright One Plaza, Buffalo, MN 55313 | 2010-12-23 |
| 1619140456 | Lisa Marlene Marty | Speech-Language Pathologist | 2144 County Rd 12 South, Buffalo, MN 55313 | 2008-04-11 |
| Find all providers in zip 55313 | ||||
| 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 |
|---|---|---|---|---|
| 1396388922 | Whitney Caitlin Brown | Psychologist | 68 Trinity Pl Fl 1, Buffalo, NY 14201-2143 | 2019-10-27 |
| 1699238998 | Chelsey Maura Mccabe | Psychologist | 1028 Main St Fl 2, Buffalo, NY 14202-1102 | 2019-04-12 |
| 1942578174 | Kathleen M Shanahan | Psychologist | 18 Agassiz Cir, Buffalo, NY 14214-2601 | 2011-12-02 |
| 1518186261 | Michael Moses | Psychologist | 498 Franklin Street, Buffalo, NY 14202 | 2007-04-24 |
| 1316020621 | Jennifer Anne Fendya | Psychologist | 408 Franklin St, Buffalo, NY 14202-1525 | 2006-10-23 |
| 1184719403 | Robert James Graham | Psychologist | 36 Dorchester Rd, Buffalo, NY 14222-1125 | 2006-10-03 |
| 1750483269 | Family Counseling Center Inc | Psychologist | 102 Marty Dr, Buffalo, MN 55313-9305 | 2006-09-04 |
| 1487623542 | Mark Gunther | Psychologist | Erie County Medical Center, 462 Grider Street (room 943), Buffalo, NY 14215 | 2006-03-14 |
| 1871130138 | Nicole Shea | Psychologist | 1001 Main St Fl 4, Buffalo, NY 14203-1009 | 2019-12-05 |
| 1932742103 | Laura E Mcardell | Psychologist | 1028 Main St, Buffalo, NY 14202-1102 | 2019-10-21 |
| Find all providers in BUFFALO | ||||
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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.