Healthcare Provider Details

I. General information

NPI: 1336219286
Provider Name (Legal Business Name): STEVE MARTINO PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 CAMPBELL AVE # 151-D
WEST HAVEN CT
06516-2770
US

IV. Provider business mailing address

20 YORK ST
NEW HAVEN CT
06504-8900
US

V. Phone/Fax

Practice location:
  • Phone: 203-932-5711
  • Fax: 203-937-3742
Mailing address:
  • Phone: 203-932-5711
  • Fax: 203-937-3472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number001711
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number001711
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: