Breann Nicole Martin, PSYD

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

2730 Issued in OR

Practice address

1400 Executive Pkwy Ste 260
Eugene, OR 97401-7121

Phone

(458) 215-5397

NPI assigned

Aug 25, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Western Clinical & Forensic Services

  • Clinical Psychologist
  • Eugene, OR
  • NPI 1114498854
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1053838581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 GREENFIELD AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974041679",
            "telephone_number": "714-767-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EXECUTIVE PKWY STE 260",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017121",
            "telephone_number": "458-215-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "BREANN",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2730",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "OR",
            "license": "2730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Martin
• Amy S Martin, LMT
• Andria Joy Martin, MS, RD, LD
• Angelina Rose Martin, MSW
• Aurora S Martin, PT
• Bryan Noel Martin, PHARMD
• Cassandra Amra Martin
• Cerridwen Laurel Martin
• Cheyenne Sierra Martin
• Cory Jon Martin, LCSW, MPA

• Forensic Psychologist in Eugene, OR
• Providers in Eugene, OR by specialty
• Forensic Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.