MIRIAM MARTINEZ (NPI# 1902822000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902822000 |
| Entity Type | Individual |
| Full Name | MIRIAM MARTINEZ |
| Credential | PHD |
| Practice Address |
1090 Amsterdam Ave 16th Floor New York NY 10025-1737 |
| Mailing Address |
1090 Amsterdam Avenue, 16th Floor Department of Psychiatry, St. Luke's Roosevelt Hospital New York NY 10025 |
| Practice Telephone | 2125232025 |
| Practice Fax Number | 2125233477 |
| Mailing Telephone | 2125232025 |
| Mailing Fax Number | 2125233477 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2013-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
019030-1 | NY | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY12217 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1508204439 | Miriam Martinez | Nurse's Aide | 520 Train Way, Pahrump, NV 89060-1255 | 2013-06-13 |
| 1871662320 | Miriam Yamil Martinez | Pharmacy Technician | Hc-03 Box 16391, Bo. Cuchillas,sector El Guayabo, Corozal, PR 00783 | 2006-11-07 |
| 1215020268 | Miriam M Martinez | Dental Hygienist | 5431 Myrtle Ave, Ridgewood, NY 11385-3403 | 2006-10-02 |
| 1033753561 | Miriam Martinez | Behavior Technician | 2970 Hilltop Mall Rd Ste. 104, Richmond, CA 94806-9480 | 2019-10-28 |
| 1801373758 | Miriam Martinez | Case Manager/Care Coordinator | 19809 Prairie St, Chatsworth, CA 91311-6504 | 2018-07-24 |
| 1720367402 | Miriam A Martinez | Counselor | 721 Nevada St, Ste 209, Redlands, CA 92373-8079 | 2011-08-11 |
| Street Address |
1090 AMSTERDAM AVE 16TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-1737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164427522 | Gary R Burke | Internal Medicine | 1090 Amsterdam Ave, Fl 4, New York, NY 10025-1737 | 2005-06-14 |
| 1407490071 | Monique Shenise Titley | Social Worker | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2019-11-06 |
| 1417428855 | Ewelina Wiecek | Social Worker | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2018-12-11 |
| 1912432964 | Jeletta Jose | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2017-04-27 |
| 1710419437 | Sabrina Ghim | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suite 16a, New York, NY 10025-1737 | 2017-03-31 |
| 1679005474 | Ziv Nir | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suite F, 16th Floor, New York, NY 10025 | 2017-03-30 |
| 1538691860 | Vivian Chan | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suite 16a, New York, NY 10025-1737 | 2017-03-27 |
| 1336670892 | Annesly Gates | Student in an Organized Health Care Education/Training Program | 1090 Amsterdam Ave, Suie 16a, New York, NY 10025-1737 | 2017-03-25 |
| 1023554318 | St.lukes Roosevelt Hospital Center Childrens Blended Case Managemen | Pediatrics | 1090 Amsterdam Ave, New York, NY 10025-1737 | 2017-01-11 |
| 1841748456 | Marianna Cordovano | Physician Assistant | 1090 Amsterdam Ave, Suite 10a, New York, NY 10025-1737 | 2016-09-13 |
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|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| Find all providers in zip 10025 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1194324657 | Elizabeth Brunoski | Psychologist | 50 W 67th St Ste 5h, New York, NY 10023-6227 | 2020-10-25 |
| 1912505587 | Elspeth Hayden Kelly | Psychologist | 519 8th Ave Fl 8, New York, NY 10018-6506 | 2020-10-15 |
| 1114534757 | Joshua Andrew Haag | Psychologist | 100 Beekman St Apt 5m, New York, NY 10038-0052 | 2020-09-28 |
| 1164037909 | Katherine Louise Rachlin | Psychologist | 708 Greenwich St Apt 5b, New York, NY 10014-2598 | 2020-09-09 |
| 1538773916 | Melanie Love | Psychologist | 75 West St Apt 5h, New York, NY 10006-1793 | 2020-09-03 |
| 1952914335 | Danielle Landau | Psychologist | 127 W 96th St Apt 12e, New York, NY 10025-6482 | 2020-08-26 |
| 1265045744 | Jennifer A Drapkin | Psychologist | 136 W 71st St Apt 4f, New York, NY 10023-4024 | 2020-08-25 |
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1033729686 | Colleen Cook Flannery | Psychologist | 53 E 96th St # 1, New York, NY 10128-0813 | 2020-08-07 |
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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.