DR. KIMBERLY M MARTIN (NPI# 1629397617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629397617 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY M MARTIN |
| Credential | PSYD |
| Practice Address |
3650 E 46th St Indianapolis IN 46205-1610 |
| Practice Telephone | 3177219067 |
| Practice Fax Number | 3172030976 |
| Mailing Telephone | 3177219067 |
| Mailing Fax Number | 3172030976 |
| Enumeration Date | 2010-05-31 |
| Last Update Date | 2020-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
0810006455 | VA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
20042486A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770190282 | Kimberly F Martin | Technician | 370 Nunner Rd, Maineville, OH 45039-8515 | 2020-09-29 |
| 1801412390 | Kimberly Alberta Martin | Counselor | 2368 Crescent St Fl 1, Astoria, NY 11105-3108 | 2020-06-19 |
| 1174161756 | Kimberly Lynn Martin | Case Manager/Care Coordinator | 141 Twin Lake Ln, Princeton, WV 24739-9591 | 2019-12-14 |
| 1316418361 | Kimberly Cathleen Martin | Nurse Practitioner | 607 Old Highway 24 W, Kokomo, MS 39643-5052 | 2018-12-16 |
| 1114494424 | Kimberly Martin | Rehabilitation Practitioner | 6655 S Fort Apache Rd Unit 110, Las Vegas, NV 89148-5061 | 2018-10-25 |
| 1700333416 | Kimberly Martin | Behavioral Analyst | 7421 Nw 34th St, Lauderhill, FL 33319-7103 | 2016-09-10 |
| 1467730838 | Kimberly Ann Martin | Speech-Language Pathologist | 7350 Hawk Rd, Flower Mound, TX 75022-6266 | 2011-08-02 |
| 1154617413 | Kimberly M Martin | Registered Nurse | 1204 Drill Ave Ne, Palm Bay, FL 32907-1121 | 2011-06-24 |
| 1598050742 | Kimberly Martin | Physical Therapist | 2821 Kings Mill Rd, Greensboro, NC 27407-6431 | 2011-06-16 |
| 1487812764 | Kimberly Ann Martin | Occupational Therapist | 128 Northgate Dr, De Queen, AR 71832-1700 | 2008-05-23 |
| Street Address |
3650 E 46TH ST |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46205-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891910634 | Heather Lee Sutton | Social Worker | 3650 E 46th St, Indianapolis, IN 46205-1610 | 2007-04-16 |
| 1023505682 | Heather Sutton Lcsw LLC | Social Worker | 3650 E 46th St, Indianapolis, IN 46205-1610 | 2018-04-19 |
| 1699136788 | Kimberly M Martin, Psy.d. LLC | Psychologist | 3650 E 46th St, Indianapolis, IN 46205-1610 | 2016-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003383233 | Bombeauty Supply and Salon | Durable Medical Equipment & Medical Supplies | 3010 Lake Shore Dr Unit A, Indianapolis, IN 46205 | 2018-10-25 |
| 1376034165 | Sade Trenise Evans | Behavior Technician | 4740 Kingsway Drive, Indianapolis, IN 46205 | 2018-05-29 |
| 1972057354 | Danielle Mandigo | Social Worker | 4068 Winthrop Ave, Indianapolis, IN 46205 | 2016-08-15 |
| 1386032613 | Hear Indiana Inc | Speech-Language Pathologist | 4740 Kingsway Dr., Suite 33, Indianapolis, IN 46205 | 2015-01-09 |
| 1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
| 1265686638 | Crown Medical Transportation | Non-emergency Medical Transport (VAN) | 4637 Round Lake Rd Ste G, Indianapolis, IN 46205 | 2008-11-11 |
| 1003075912 | Monica Silvia Oclander | Nurse Practitioner | Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 | 2008-06-05 |
| 1881895647 | Amber Casto | Counselor | 2626 East 46th Street, Suite J, Indianapolis, IN 46205 | 2007-05-30 |
| 1952502098 | Challenge Foundation Academy | Contractor | 3980 Meadows Dr., Indianapolis, IN 46205 | 2007-05-29 |
| 1588871909 | Korinne Fox | Social Worker | 3675 N, Washington Blvd., Indianapolis, IN 46205 | 2007-05-16 |
| Find all providers in zip 46205 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841816048 | Christina E Maxwell Phd | Psychologist | 6337 Hollister Driive, Suite 101, Indianapolis, IN 46224-2996 | 2020-06-23 |
| 1902362619 | Geoffrey Edwards Buck | Psychologist | 9245 N Meridian St # 111, Indianapolis, IN 46260-1836 | 2019-02-18 |
| 1285128850 | Abigail Cole | Psychologist | 6314 Rucker Rd Ste A, Indianapolis, IN 46220-4800 | 2018-06-18 |
| 1558864538 | April Krowel | Psychologist | 7962 Oaklandon Rd Ste 109, Indianapolis, IN 46236 | 2018-03-15 |
| 1720515893 | Josie Gronbach | Psychologist | 50 E 91st St Ste 316, Indianapolis, IN 46240-1556 | 2017-05-18 |
| 1821469891 | Emma Carter | Psychologist | 603 E Washington St Fl 9, Indianapolis, IN 46204 | 2015-10-15 |
| 1316385081 | Megan A Orr | Psychologist | 2001 W 86th St Fl 7, Indianapolis, IN 46260-1902 | 2013-06-04 |
| 1255775490 | Psychservices Indiana LLC | Psychologist | 5924 1/2 Hillside Avenue East Dr, Indianapolis, IN 46220-2414 | 2013-04-18 |
| 1740557206 | Michael Eric O'brien | Psychologist | 5336 Elmwood Ave, Indianapolis, IN 46203-6023 | 2011-11-28 |
| 1114237336 | Greenhouse and Associates Inc. | Psychologist | 3016 Lake Shore Drive, Ste E, Indianapolis, IN 46205 | 2010-10-21 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46205 |
Please comment or provide details below to improve the information on DR. KIMBERLY M MARTIN.
| 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.