Raquel Martin, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

06494 Issued in MD

Practice address

782 Weatherly Dr
Clarksville, TN 37043-8941

Phone

(610) 609-6137

NPI assigned

Sep 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1306495528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12313 MONTHAVEN PARK PL",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370757074",
            "telephone_number": "610-609-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 WEATHERLY DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438941",
            "telephone_number": "610-609-6137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1741 Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212051531",
            "country_code": "US",
            "telephone_number": "610-609-6137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "RAQUEL",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "06494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Martin
• Janice Dianne Martin, PH.D.
• Kayla Martin
• Margaret Nelle Martin, RD, MS, CDE, LDN
• Nicola Elizabeth Martin, PHARMD
• Sarah Martin
• Teresa G Martin, BCBA
• Cecilia Martinez
• Jennifer Martinez
• Maximilian Stephen Joseph Martinez, MD

• Psychologist in Clarksville, TN
• Providers in Clarksville, TN by specialty
• Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.