Martha N Ishiekwene, M.A.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

40665 Issued in TX

Practice address

140 Decatur St SE FL 11
Atlanta, GA 30303-3204

Phone

(404) 413-6200

Fax

(404) 413-6207

NPI assigned

Oct 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Psychologist

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  Medicare reassignment

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1508520131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5010",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303025010",
            "telephone_number": "404-413-6200",
            "fax_number": "404-413-6207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 DECATUR ST SE FL 11",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033204",
            "telephone_number": "404-413-6200",
            "fax_number": "404-413-6207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHIEKWENE",
        "first_name": "MARTHA",
        "middle_name": "N",
        "name_prefix": "Miss",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "TX",
            "license": "40665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Faith Isaacs
• Scott D. Isaacs, M.D.
• Sarah Isabelle
• Alexander P Isakov, MD
• Camilla Isaro
• Sabrina Ishrat, LPC
• Ijeoma Isiadinso, M.D.
• Heba Nagi Iskandar, M.D.
• Jonathan Victor Iskaros, PA-C
• Aleksandr Iskhakov

• Clinical Child & Adolescent Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Child & Adolescent Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.