DR. DAVID MARTIN (NPI# 1639611973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639611973 |
| Entity Type | Individual |
| Full Name | DR. DAVID MARTIN |
| Credential | PH.D. |
| Practice Address |
210 S Randolph St Macomb IL 61455-3828 |
| Practice Telephone | 6099334734 |
| Mailing Telephone | 6099334734 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071009389 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225529688 | David Andrew Martin | Contractor | 15310 Cr T.37, La Jara, CO 81140 | 2018-05-22 |
| 1215441811 | David Robert Martin | Peer Specialist | 313 E Edwards St Apt B5, Edmond, OK 73034-4597 | 2017-11-20 |
| 1518340298 | David Martin | Counselor | 2082 S Stonyfield Pl, Boise, ID 83709-5508 | 2015-06-30 |
| 1982954376 | David Eugene Martin | Nurse Practitioner | 2145 Stonecrest Path, New Braunfels, TX 78130-9414 | 2012-09-13 |
| 1245585413 | David William Martin Jr. | Internal Medicine | 300 Utah Ave, Suite 150, South San Francisco, CA 94080-6800 | 2012-07-13 |
| 1437469483 | David Emory Martin | Dentist | 2911 A W Grimes Blvd, Ste. 106, Pflugerville, TX 78660-5458 | 2010-10-08 |
| 1427375989 | David L Martin | Pharmacist | 64 N Mercer Ave, Sharpsville, PA 16150-2234 | 2010-04-23 |
| 1669646865 | David Walker Martin | Mechanotherapist | 5615m Jackson Street Ext Ste 102, Alexandria, LA 71303-2274 | 2008-04-17 |
| 1831362060 | David A Martin | Licensed Practical Nurse | 1394 E Bristol Rd, Flint, MI 48529-2212 | 2008-04-09 |
| 1376711093 | David Joseph Martin | Dentist | 938 Dewing Ave, Suite 2, Lafayette, CA 94549-4271 | 2008-02-15 |
| Street Address |
210 S RANDOLPH ST |
| City | MACOMB |
| State | IL |
| Zip Code | 61455-3828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013239896 | William G. Barnes | Social Worker | 210 S Randolph St, Macomb, IL 61455-3828 | 2010-02-22 |
| 1568084127 | Diana Brook Dobier | Psychologist | 210 S Randolph St, Macomb, IL 61455-3828 | 2020-05-17 |
| 1497287007 | Joseph William Proctor | Psychologist | 210 S Randolph St, Macomb, IL 61455-3828 | 2017-04-02 |
| 1205221439 | Nicole Christine Hernandez | Psychologist | 210 S Randolph St, Macomb, IL 61455-3828 | 2015-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043869944 | Wesley Village, Inc | Speech-Language Pathologist | 1200 East Grant Street, Macomb, IL 61455 | 2019-09-04 |
| 1780154013 | Hannah Lauren Bengtson | Optometrist | 820 E. Jackson St., Macomb, IL 61455 | 2018-11-29 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1821516816 | Michelle Deann Sargeant | Speech-Language Pathologist | 315 N. Bonham, Macomb, IL 61455 | 2017-08-30 |
| 1972020360 | Kara Marie Wright | Speech-Language Pathologist | 315 N. Bonham St., Macomb, IL 61455 | 2017-08-25 |
| 1720356504 | Dawn M. Kedzior | Social Worker | 103 South Johnson Street, Macomb, IL 61455 | 2011-12-07 |
| 1255632642 | Michael Kurt Sharp | Audiologist | Memorial Hall, Second Floor, W Murray St, Macomb, IL 61455 | 2010-11-16 |
| 1952538704 | Mary L. Smith | Developmental Therapist | 1 University Circle, Western Il Univ, Cntr for Best Practices In Early Childhood Education, Macomb, IL 61455 | 2009-06-19 |
| 1982857827 | Macomb Oncology Institute Ltd | Radiology | 401 East Grant Street, Macomb, IL 61455 | 2008-10-23 |
| 1245488345 | Sonja E Schmidt | Social Worker | 119 Wetzel Hall, Western Illinois University, Macomb, IL 61455 | 2008-09-03 |
| Find all providers in zip 61455 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787664 | Athal Yako | Psychologist | 18230 Teresa Dr, Macomb, MI 48044-1681 | 2020-10-13 |
| 1356551824 | Kelly Jean Mahla | Psychologist | 55753 Serene Dr, Macomb, MI 48042-6164 | 2007-05-23 |
| 1861618076 | Tracy Albert Knight | Psychologist | 109 W Kurlene Dr, Macomb, IL 61455-1007 | 2007-04-17 |
| 1477697027 | Amy Hanes | Psychologist | 21592 Doral Dr, Macomb, MI 48042 | 2007-02-16 |
| 1639123706 | Carl Eric Alsterberg | Psychologist | 52759 Woodmill Dr, Macomb, MI 48042-5668 | 2006-05-21 |
| 1205221439 | Nicole Christine Hernandez | Psychologist | 210 S Randolph St, Macomb, IL 61455-3828 | 2015-04-03 |
| 1427003375 | Lakeside Psychological Services, P.C. | Psychologist | 52759 Woodmill Dr, Macomb, MI 48042-5668 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699166 | Jennifer Knuepfer, Psyd, Pllc | Psychologist | 4256 N Ravenswood Ave Ste 305, Chicago, IL 60613-1114 | 2020-11-03 |
| 1104426170 | Grace Giedgowd | Psychologist | 1640 W Division St Apt 205, Chicago, IL 60622-3939 | 2020-10-29 |
| 1417556283 | Kjp Alliance LLC | Psychologist | 16595 W Easton Ave Ste 1, Lincolnshire, IL 60069-2744 | 2020-10-22 |
| 1184223364 | Caroline Elisabeth Fulton | Psychologist | 1739 N Elston Ave, Chicago, IL 60642-1544 | 2020-10-20 |
| 1881293108 | Haley Michelle Sims | Psychologist | 65 E Wacker Pl Ste 300, Chicago, IL 60601-7203 | 2020-10-19 |
| 1083212005 | Amanda Michele Long | Psychologist | 20280 Governors Hwy Ste 105, Olympia Fields, IL 60461-1068 | 2020-10-12 |
| 1285231936 | Qianhui Zhang | Psychologist | 1225 W Morse Ave Apt 403, Chicago, IL 60626-5751 | 2020-10-06 |
| 1316544158 | Nancy Marie Picard | Psychologist | 4885 N Hermitage Ave, Chicago, IL 60640-4104 | 2020-10-05 |
| 1558978379 | Youngok Kim | Psychologist | 1260 Iroquois Ave Ste 204, Naperville, IL 60563-8548 | 2020-09-25 |
| 1861007049 | Heloisa Garman | Psychologist | 800 Elgin Rd Apt 1611, Evanston, IL 60201-5632 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
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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.