Martin Ervin Cleveland, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P 1078 Issued in TN

Practice address

Blanchfield Army Community Hospital
650 Joel Drive, BLDG E
Fort Campbell, KY 42223-5349

Phone

(270) 798-4097

NPI assigned

Sep 22, 2006

Last updated

Jan 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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

• Martin E Cleveland PHD PLLC

  • Clinical Psychologist
  • Jackson, TN
  • NPI 1275830887
  NPD (past) Authorized official
• Dennis W Wilson PHD PLLC

  • Clinical Psychologist
  • Milan, TN
  • NPI 1356533137
  NPD (past)
• Dr. Dennis W. Wilson

  dba Comprehensive Mental Health Services

  • Clinical Psychologist
  • Murfreesboro, TN
  • NPI 1801832365
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1275632242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 DESERT STORM AVE RM 33",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235514",
            "telephone_number": "270-461-1563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLANCHFIELD ARMY COMMUNITY HOSPITAL",
            "address_2": "650 JOEL DRIVE, BLDG E",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235349",
            "telephone_number": "270-798-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "MARTIN",
        "middle_name": "ERVIN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P 1078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36822411",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "4141240",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Amanda Clark, LCSW
• Latoya M Clark, RD
• Michael R Clark Jr., PHARMD
• Michelle Hiromi Clark, DMD
• Roger Galen Clark, PSY.D.
• Cathy Clifton
• Hunter Richards Clouse, DDS
• Adam Glenn Coats, O.D.
• Rachel Elizabeth Cobb, AU.D.
• Georgiana Coffman, LICSW-S, PIP

• Clinical Psychologist in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.