Individual provider Active NPI

Martin Swanbrow Becker, PH.D.

  • Psychologist
  • Tallahassee, FL
National Provider Identifier
1588308084
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY10858 Issued in FL
Practice address
2644 Bantry Bay Dr
Tallahassee, FL 32309-2202
Phone
(850) 706-0741
NPI assigned
Apr 21, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY10858 FL Primary

Addresses

Primary practice location

2644 Bantry Bay Dr
Tallahassee, FL 32309-2202

Mailing address

2644 Bantry Bay Dr
Tallahassee, FL 32309-2202
Phone (850) 706-0741

Other practice location 1

1725 Capital Cir NE Ste 206
Tallahassee, FL 32308-0596
Phone (850) 706-0741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY10858FLMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1588308084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 BANTRY BAY DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092202",
            "telephone_number": "850-706-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 BANTRY BAY DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092202",
            "telephone_number": "850-706-0741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1725 Capital Cir NE Ste 206",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323080596",
            "country_code": "US",
            "telephone_number": "850-706-0741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANBROW BECKER",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-21",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY10858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.