DR. ALFONSO MARTINEZ (NPI# 1316920952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316920952 |
| Entity Type | Individual |
| Full Name | DR. ALFONSO MARTINEZ |
| Credential | PH.D. |
| Practice Address |
6000 Shakerag Hl Suite 216 Peachtree City GA 30269-6523 |
| Mailing Address |
406 Mount Vernon Trce Peachtree City GA 30269-2641 |
| Practice Telephone | 7706321088 |
| Practice Fax Number | 7706322088 |
| Mailing Telephone | 7706294575 |
| Mailing Fax Number | 7706294575 |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2007-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY3117 | GA | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | PY5814 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326195561 | Alfonso E Martinez | Dentist | 11733 Valley Blvd, El Monte, CA 91732-3073 | 2007-01-03 |
| 1265933436 | Alfonso Martinez | Behavior Technician | 7339 N 1st St, Fresno, CA 93720-2954 | 2018-02-23 |
| 1356899975 | Alfonso Benjamin Martinez Jr. | Nurse Practitioner | 1518 Girard Blvd Ne, Albuquerque, NM 87106-6908 | 2016-09-12 |
| 1972963205 | Alfonso Martinez | Counselor | 17 Sw Frazer Ave Ste 282, Pendleton, OR 97801-0048 | 2016-02-29 |
| 1821013517 | Alfonso J Martinez | Internal Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2006-07-13 |
| 1841243581 | Alfonso Martinez | Pediatrics | 9000 W Wisconsin Ave, Pediatric Gastroenterology, Milwaukee, WI 53226-4874 | 2006-05-17 |
| Street Address |
6000 SHAKERAG HL SUITE 216 |
| City | PEACHTREE CITY |
| State | GA |
| Zip Code | 30269-6523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720697469 | Carolyn Moreland | Counselor | 6000 Shakerag Hl, Peachtree City, GA 30269-6523 | 2020-07-29 |
| 1043767858 | Mwm Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 6000 Shakerag Hl, Suite 110, Peachtree City, GA 30269-6523 | 2016-09-09 |
| 1194108134 | Atlanta Neurospine Institute, PC | Pain Medicine | 6000 Shakerag Hl, Suite 110, Peachtree City, GA 30269-6523 | 2015-07-08 |
| 1609125806 | Thomas Carroll Mcbrayer Jr. | Counselor | 6000 Shakerag Hl, Suite 218, Peachtree City, GA 30269-6523 | 2012-09-04 |
| 1295008621 | Margaret Williams Mcbrayer | Counselor | 6000 Shakerag Hl, Suite 218, Peachtree City, GA 30269-6523 | 2012-02-15 |
| 1568644995 | The Neuropsychology Center, LLC | Clinical Neuropsychologist | 6000 Shakerag Hl, Suite 216, Peachtree City, GA 30269-6523 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992772 | Brian Voyles | Pharmacist | 130 Peachtree East Ct, Ste #4, Peachtree City, GA 30269 | 2020-08-13 |
| 1871133066 | Imani Scott | Physical Therapist | 1280 Hwy 74 S Ste 210, Peachtree City, GA 30269 | 2020-01-15 |
| 1477191898 | Sandra Jo Aletraris | Counselor | 105 Camp Creek Trail, Peachtree City, GA 30269 | 2019-12-16 |
| 1295372696 | Jovon Erika Caldwell Taylor | Nurse Practitioner | 125 Governors Square, Suite B, Peachtree City, GA 30269 | 2019-12-04 |
| 1376191106 | Ryan Goldfine Dpm LLC | Podiatrist | 3451 Ernest W Barrett Pkwy Suite 170, Mariettta, GA 30269 | 2019-08-26 |
| 1740834092 | Shenitta Guyton | Psychologist | 619 Grecken Grn, Peachtree City, GA 30269 | 2019-07-25 |
| 1063971463 | Sarah Elizabeth Epps | Speech-Language Pathologist | 156 Peachtree East #149, Peachtree City, GA 30269 | 2019-03-15 |
| 1689139362 | Resiliency Behavioral Health Services LLC | Counselor | 145 Govenors Square, Ste A, Fayetteville, GA 30269 | 2019-02-06 |
| 1790256931 | Change of Life Companion Homecare LLC | Nurse Anesthetist, Certified Registered | 401 Topaz Trail, Peachtree City, Fayetteville, GA 30269 | 2018-12-16 |
| 1447753686 | Kelli M Shelton | Counselor | 145 A Governor's Sq., Peachtree City, GA 30269 | 2018-03-14 |
| Find all providers in zip 30269 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407201841 | Megan Elizabeth Diquattro | Clinical Neuropsychologist | 16 Eastbrook Bnd, Unit 102b, Peachtree City, GA 30269-1568 | 2016-05-03 |
| 1366877359 | Melina Collins | Clinical Neuropsychologist | 6000 Shakerag Hill, Suite 216, Peachtree City, GA 30269 | 2013-09-09 |
| 1568644995 | The Neuropsychology Center, LLC | Clinical Neuropsychologist | 6000 Shakerag Hl, Suite 216, Peachtree City, GA 30269-6523 | 2007-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720614746 | Neuropsychology Associates of Georgia LLC | Clinical Neuropsychologist | 280 Interstate North Cir Se Ste 450, Atlanta, GA 30339-2451 | 2020-03-21 |
| 1023586773 | The Atlanta Psychology Group | Clinical Neuropsychologist | 3500 Piedmont Rd Ne Ste 740, Atlanta, GA 30305-1507 | 2018-11-09 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1316451719 | Zainab Delawalla | Clinical Neuropsychologist | 125 Clairemont Ave Ste 510, Decatur, GA 30030-2504 | 2017-11-21 |
| 1588199327 | Scott Edward Miller | Clinical Neuropsychologist | 352 Milledge Hall, University of Georgia, Athens, GA 30602-5875 | 2017-05-01 |
| 1053850172 | S. Marilyn Miller | Clinical Neuropsychologist | 90 Fairlie St Nw, Suite 203, Atlanta, GA 30303-2127 | 2017-02-22 |
| 1457898371 | Tamara Weiss, M.d., LLC | Clinical Neuropsychologist | 1772 Century Blvd Ne Ste A, Atlanta, GA 30345-3396 | 2017-01-30 |
| 1689048076 | Laura Blackwell | Clinical Neuropsychologist | 5455 Meridian Marks Rd Ste 180, Atlanta, GA 30342-4716 | 2015-11-23 |
| 1003205741 | Lifespan Psychology, P.C. | Clinical Neuropsychologist | 98 Voorhees Rd E, Hamilton, GA 31811-5671 | 2015-01-19 |
| Find all providers with the same taxonomy | ||||
| City | PEACHTREE CITY |
| Zip Code | 30269 |
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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.