MARTIN NEUROBEHAVIORAL CENTER, PC


Address: 3800 Paluxy Dr, Suite 450, Tyler, TX 75703-1629
Phone: 9032589938

MARTIN NEUROBEHAVIORAL CENTER, PC (NPI# 1356573414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356573414
Entity Type Organization
Organization Name MARTIN NEUROBEHAVIORAL CENTER, PC
Practice Address 3800 Paluxy Dr
Suite 450
Tyler
TX 75703-1629
Mailing Address Po Box 132381
Tyler
TX 75713-2381
Practice Telephone 9032589938
Mailing Telephone 9032589938
Enumeration Date 2009-08-21
Last Update Date 2009-10-26
Authorized Official Name STEPHEN KELLY MARTIN (OWNER)
Authorized Official Telephone 9032589938
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 4740 TX Behavioral Health & Social Service Providers

Office Location

Street Address 3800 PALUXY DR
SUITE 450
City TYLER
State TX
Zip Code 75703-1629

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144233297 Stephen Kelly Martin Clinical Neuropsychologist 3800 Paluxy Dr, Suite 450, Tyler, TX 75703-1629 2006-08-13
1003283946 Jill Marie Kirkley Counselor 3800 Paluxy Dr, Ste 240, Tyler, TX 75703-1629 2015-08-26
1609267962 Janus Children Services Inc Counselor 3800 Paluxy Dr, Suite 150, Tyler, TX 75703-1629 2015-02-09
1326338807 Richard William Lawrence Counselor 3800 Paluxy Dr, Ste. 440, Tyler, TX 75703-1629 2011-04-18
1265613707 Jennifer Lynn Blakeney Counselor 3800 Paluxy Dr, Suite 450, Tyler, TX 75703-1629 2007-11-26
1831227909 Charles T Fries Edd PC Psychologist 3800 Paluxy Dr, Suite 440, Tyler, TX 75703 2007-03-01
1750417960 Rebecca Ann Slater Social Worker 3800 Paluxy Dr, Suite 137, Tyler, TX 75703-1629 2007-02-24
1811040009 Karon L Harrison Counselor 3800 Paluxy Dr, Suite 440, Tyler, TX 75703 2007-01-19
1003970625 Charles T Fries Psychologist 3800 Paluxy Dr, Suite 440, Tyler, TX 75703 2006-12-20
1528145992 Diana K Walla Counselor 3800 Paluxy Dr, Suite 137, Tyler, TX 75703-1629 2006-11-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174155477 Choice Supportive Care Team Inc. Family Medicine 4293 Kinsey Drive, Tyler, TX 75703 2020-02-05
1770052532 Refinery Chiropractic LLC Chiropractor 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 2018-11-21
1215419353 Deidre Lynn Fergason Occupational Therapy Assistant 3505 Old Jacksonville Hwy, Tyler, TX 75703 2018-09-05
1710473681 Justin Taylor Ross Dentist 8938 S Broadway Ave Ste 380, Tyler, TX 75703 2018-07-03
1457843450 Adam Tyler Barnes, Dds of Texas II, Pllc Dentist 8938 South Broadway, Ste 480, Tyler, TX 75703 2018-06-05
1083106462 Integrity Health Internal Medicine 5605 Old Bullard Rd Ste B, Tyler, TX 75703 2018-06-01
1427572544 Cody Wayne Graham Pharmacist 5415 S. Broadway Ave., Tyler, TX 75703 2017-07-31
1750805941 Roger Bryan Chapman Nurse Practitioner 6115 New Copeland Rd, Tyler, TX 75703 2017-07-28
1427570084 Darah Lynne Dahlem Speech-Language Pathologist 401 E. Front Street Ste 123, Tyler, TX 75703 2017-07-14
1194267468 Herman Lester Hampton Jr. Surgery 5803 Regents Row, Tyler, TX 75703 2016-11-17
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013450220 Frederick Gary Mears Clinical Neuropsychologist 1810 Shiloh Rd Ste 801, Tyler, TX 75703-2457 2016-11-21
1144596792 Tina Marie Borke Clinical Neuropsychologist 719 West Front St., Tyler, TX 75702 2012-03-28
1497805659 Robert Sperry Jr. Clinical Neuropsychologist 605 Chase Dr, Suite 2, Tyler, TX 75701-9431 2007-01-11
1619044856 Barry Wilson Rath Clinical Neuropsychologist 826 S Fleishel Ave, Tyler, TX 75701-2016 2006-11-30
1144233297 Stephen Kelly Martin Clinical Neuropsychologist 3800 Paluxy Dr, Suite 450, Tyler, TX 75703-1629 2006-08-13
1326657792 Pelin D Strebler Clinical Neuropsychologist 11937 Us Highway 271, Tyler, TX 75708-3154 2020-07-30
1609068071 Charles Raymond Walker Clinical Neuropsychologist 2737 S Broadway Ave, Tyler, TX 75701 2007-08-09
1649200700 Edwin D Robertson Clinical Neuropsychologist 701 Olympic Plaza Cir, Tyler, TX 75701-1950 2006-07-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1598375487 Tara Austin Clinical Neuropsychologist 4900 Bagby Ave Apt 819, Waco, TX 76711-0035 2020-08-05
1215557400 Amy Elizabeth Werry Clinical Neuropsychologist 7703 Floyd Circle Drive, San Antonio, TX 78229 2020-04-17
1992330864 Annelizabeth Robinson Carlew Clinical Neuropsychologist 6333 Forest Park Rd 1st Fl Bla.100, Dallas, TX 75390-5461 2020-03-11
1710511753 Gulf Coast Neuropsychology, Pllc Clinical Neuropsychologist 1110 Nasa Pkwy Ste 108c, Houston, TX 77058-3351 2020-02-28
1356988372 Jennifer Reynolds Clinical Neuropsychologist 8005 Canyon Parke Ct, Austin, TX 78726-4029 2019-12-09
1649835216 Kaleidoscope Counseling and Assessment Clinical Neuropsychologist 1705 S Capital of Texas Hwy Ste 130, Austin, TX 78746-6587 2019-05-08
1104392067 Neuropsychological Services of Texarkana Pllc Clinical Neuropsychologist 5411 Plaza Dr Ste E, Texarkana, TX 75503-1667 2018-10-18
1801370184 Professional Exam Services Inc. Clinical Neuropsychologist 2233 E Grauwyler Rd Ste 107, Irving, TX 75061-3239 2018-09-21
1255815072 Seema Pandya Clinical Neuropsychologist 9101 N Central Expy Ste 230, Dallas, TX 75231-6079 2018-09-18
1972097145 Juliette Galindo Clinical Neuropsychologist 1333 Moursund Ave, Psychology/neuropsychology H124, Houston, TX 77030-3405 2018-06-20
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Competitor

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City TYLER
Zip Code 75703

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Dataset Information

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.

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