Dr. Marta Magaly Genovez, Ph.D.

Psychologist, Clinical in Washington, DC. Individual provider (NPI-1).

NPI number1316616477

StatusActive

Last updated in NPPESSep 10, 2021

Details

NPI: 1316616477
Entity type: Individual (NPI-1)
Name: Dr. Marta Magaly Genovez
Credential: Ph.D.
Sex: Female
Sole proprietor: Yes
Enumeration date: Sep 10, 2021
Certification date: Sep 10, 2021
Last updated: Sep 10, 2021

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - CLINICAL PSYCHOLOGIST
Can order and refer: Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103TC0700X	Psychologist, Clinical	PSY2000008	DC	Yes

Practice location

111 Michigan Ave Nw
Washington, DC 20010-2916

Phone 202-476-5000

Mailing address

Po Box 744785
Atlanta, GA 30374-4785

Phone 202-476-5000

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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