Martin E Cleveland PHD PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1078 Issued in TN

Legal business name

MARTIN E CLEVELAND PHD PLLC

Practice address

5 Brentmeade CV
Jackson, TN 38305-6448

Phone

(901) 355-0688

NPI assigned

Feb 16, 2011

Organization subpart

No

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

Authorized official

Name

Martin E Cleveland, PHDNPI 1275632242

Title

Owner

Phone

(901) 355-0688

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Martin Ervin Cleveland, PHD

  • Clinical Psychologist
  • Fort Campbell, KY
  • NPI 1275632242
  NPD (past) Authorized official

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297814400000",
    "number": "1275830887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 BRENTMEADE CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056448",
            "telephone_number": "901-355-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 BRENTMEADE CV",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056448",
            "telephone_number": "901-355-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN E CLEVELAND PHD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-355-0688",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "1078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark a. Miller, D.D.S., PLC
• Mark Baldwin
• Justin Lee Marlar, MD
• Paulette Marshall, CASE MANAGER
• Maria Del Rosario Marshel, DO
• Andrew Martin
• Elizabeth M Martin
• Erica Nicole Martin
• Khalil Syntrel Martin
• Latesha Martin, FAM PRESERV SPEC

• Clinical Psychologist in Jackson, TN
• Providers in Jackson, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.