Jessica Lynn Martin, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

020774-01 Issued in NY

Practice address

10 Maxwell Dr Ste 205
Clifton Park, NY 12065-2933

Phone

(518) 288-7156

Fax

(518) 309-7838

NPI assigned

Jul 25, 2022

Last updated

Jul 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 7

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Martin Neuropsychology PLLC

  • Clinical Neuropsychologist
  • Clifton Park, NY
  • NPI 1760205645
  NPD
• R&M Neuropsychology, PLLC

  • Clinical Neuropsychologist
  • Clifton Park, NY
  • NPI 1497330740
  NPD

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1366178295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RASPBERRY DR",
            "city": "MALTA",
            "state": "NY",
            "postal_code": "120203818",
            "telephone_number": "518-469-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MAXWELL DR STE 205",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652933",
            "telephone_number": "518-288-7156",
            "fax_number": "518-309-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "020774-01",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "020774-01",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NY",
            "license": "020774-01",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "NY",
            "license": "020774-01",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NY",
            "license": "020774-01",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NY",
            "license": "020774-01",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "020774-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine J Markey
• Marotta Health and Wellness Chiropractic PLLC
• Antonio V.R. Marotta, D.C.
• Alex G. Marsal, PH.D.
• Martin Neuropsychology PLLC
• Kimberly Susan Martin, LCSW-R
• Rebecca Martin, PH.D.
• Martins Foods of South Burlington LLC (Hannaford Food and Drug)
• Mary E Vanalstyne Nurse Practitioner in Family Health PC
• Kayla Marie Marzello

• Psychologist in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.