Individual provider Active NPI

Gabriella Martin, PSYD

  • Clinical Psychologist
  • Lexington, KY
National Provider Identifier
1265255079
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
294818 Issued in KY
Practice address
230 Lexington Green Cir Ste 420
Lexington, KY 40503-3337
Phone
(859) 287-0760
NPI assigned
Nov 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 294818 KY Primary

Addresses

Primary practice location

230 Lexington Green Cir Ste 420
Lexington, KY 40503-3337

Mailing address

230 Lexington Green Cir Ste 420
Lexington, KY 40503-3337
Phone (859) 287-0760

Other practice location 1

1900 Richmond Rd
Lexington, KY 40502-1204
Phone (859) 218-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250918001892 KY Practitioner - Clinical Psychologist 1658875026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1 Optum Cir
Eden Prairie, MN 55344-2956

11000 Optum Cir
Eden Prairie, MN 55344-2503

230 Lexington Green Cir
Suite 420
Lexington, KY 40503-3330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
294818KYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Jul 10, 2025 Accepting new patients
Optum Behavioral Care of North Carolina, PC CurrentSince Jul 10, 2025 Accepting new patients

Locations

230 Lexington Green Cir
Ste 420
Lexington, KY 40503
Phone (859) 287-0760

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1265255079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 LEXINGTON GREEN CIR STE 420",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033337",
            "telephone_number": "859-287-0760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 LEXINGTON GREEN CIR STE 420",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033337",
            "telephone_number": "859-287-0760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Richmond Rd",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405021204",
            "country_code": "US",
            "telephone_number": "859-218-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "GABRIELLA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-01",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "294818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.