Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Elisamuel Martinez Diaz

Individual provider Clinical Psychologist · NPI 1033173745

Dr. Elisamuel Martinez Diaz is a Clinical Psychologist in New Rochelle, New York. Graduated from Ponce School of Medicine in 2005, 21 years ago. Accepts Medicare assignment. Licensed in New York and Puerto Rico.

Years since qualifying
21
Trained at
Ponce School of Medicine
Licensed in
NY, PR
In the registry since
2006
Specialties on file
2

Practice location Address checks out

10 Davenport Ave Bsmt
New Rochelle, NY 10805-3634
Phone: (787) 396-0975
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 024087 (NY)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2559 (PR)

Record details

NPI number1033173745
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 12, 2006
Last updated in NPPESFebruary 21, 2025
Certification dateFebruary 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolPONCE SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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