DR. ANDREW LEE MARTIN (NPI# 1164590923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164590923 |
| Entity Type | Individual |
| Full Name | DR. ANDREW LEE MARTIN |
| Credential | PSYD |
| Practice Address |
9 Charlton St Princeton NJ 08540 |
| Mailing Address |
9 Charlton St Princeton NJ 08540-5231 |
| Practice Telephone | 6094543214 |
| Practice Fax Number | 6092507108 |
| Mailing Telephone | 6094543214 |
| Mailing Fax Number | 6092507108 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2019-04-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 03841 | MD | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6742 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | BCBS | 64161101 | 01 |
| MD | 405146700 | 05 | |
| DC | BCBS | 77260044 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 330 Louisiana Ave, Suite A, Perrysburg, OH 435511470 | 4198749488 | 4198744822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356978217 | Andrew Martin | Pharmacist | 800 Washington St # 420, Boston, MA 02111-1552 | 2020-03-23 |
| 1063873149 | Andrew Martin | Health Educator | 1915 S 25th Ave, Maywood, IL 60153-2825 | 2016-03-16 |
| 1275955510 | Andrew Martin | Counselor | 3701 Riverside Dr Apt 5, Tulsa, OK 74105-3059 | 2014-01-06 |
| 1053660456 | Andrew Wayne Martin Sr. | Radiology | 121 St. Charles Ct., Abita Springs, LA 70420 | 2012-08-31 |
| 1912274317 | Andrew Charles Martin | Physical Therapist | 1608 S 24th Ave, Suite 102, Yakima, WA 98902-5719 | 2011-11-30 |
| 1780813568 | Andrew P Martin | Dentist | 844 South Marion Avenue, Lake City, FL 32025 | 2009-07-14 |
| 1417007345 | Andrew S Martin | Specialist | 5546 S Fort Apache Rd, Suite 100, Las Vegas, NV 89148-7692 | 2007-01-11 |
| 1740354950 | Andrew Ryan Martin | Internal Medicine | 8164 Nw 122nd Ln, Parkland, FL 33076-4938 | 2006-11-20 |
| 1104883693 | Andrew J Martin | Radiology | 12610 E Northwest Hwy, Dallas, TX 75228-8010 | 2006-04-27 |
| 1629686340 | Andrew Reed Martin | Pharmacist | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2020-07-20 |
| Street Address |
9 CHARLTON ST |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477941987 | Donald Corr | Psychologist | 9 Charlton St, Dr. Donald Corr, Princeton, NJ 08540-5231 | 2015-01-06 |
| 1821492059 | Christopher Wei | Counselor | 9 Charlton St, Princeton, NJ 08540-5231 | 2014-10-17 |
| 1669740585 | David J Angelone | Psychologist | 9 Charlton St, Princeton, NJ 08540-5231 | 2011-12-06 |
| 1700042074 | Princeton Psychological Center | Psychologist | 9 Charlton St, Princeton, NJ 08540-5231 | 2008-08-05 |
| 1922124973 | Molly Susan Palmer | Psychologist | 9 Charlton St, Princeton, NJ 08540-5231 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
| Find all providers in zip 08540 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043709504 | Susan Ellen Darley X | Psychologist | 16 Deer Path, Princeton, NJ 08540-4053 | 2018-05-09 |
| 1871035733 | Hillary Koskinen Vescio | Psychologist | 204 Camelot Ct, Princeton, NJ 08540-9003 | 2016-11-09 |
| 1629439997 | Daniel Goldberg | Psychologist | 601 Ewing St Ste C9, Princeton, NJ 08540-2756 | 2016-03-15 |
| 1811354822 | Brooke Sweet | Psychologist | 20 Nassau Street, Suite 409, Princeton, NJ 08542 | 2016-01-21 |
| 1407152804 | Linda R Hay | Psychologist | 344 Nassau St, Suite 101, Princeton, NJ 08540-4622 | 2011-02-02 |
| 1114243615 | Jonathan Geller | Psychologist | 247 Nassau St, Princeton, NJ 08540-4619 | 2010-04-09 |
| 1083871925 | Peter Owen Whitmer | Psychologist | 10 Laurel Ln, Princeton, MA 01541-1018 | 2008-05-19 |
| 1689878290 | Michael Robertson | Psychologist | 604 1st St Ste 100, Princeton, MN 55371-1606 | 2007-06-14 |
| 1225259658 | Linda I Meyers | Psychologist | 484 Prospect Ave, Princeton, NJ 08540-4077 | 2007-05-02 |
| 1427170703 | Charles T Bachus, Pa | Psychologist | 166 Bunn Dr Ste 101, Princeton, NJ 08540-2800 | 2007-04-06 |
| Find all providers in PRINCETON | ||||
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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.