Individual provider Active NPI

Robert Monroe Martin III, PH.D.

  • Psychologist
  • Norman, OK
National Provider Identifier
1699764225
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
926 Issued in OK
Practice address
2417 Westport Dr
Norman, OK 73069-6337
Phone
(405) 579-7560
Fax
(405) 579-7563
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 926 OK Primary
Counselor 101Y00000X 1539 OK

Addresses

Primary practice location

2417 Westport Dr
Norman, OK 73069-6337

Mailing address

712 Wall St
Ste 100
Norman, OK 73069-6360
Phone (405) 579-7560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20061122000204 OK Practitioner - Clinical Psychologist 9032117296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norman Behavioral Health Group, LLCGroup PAC ID 3173521341, 10 clinicians

Practice addresses (Care Compare)

712 Wall St
Norman, OK 73069-6360
Phone (405) 579-7560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
926OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oklahoma Disability Service, Inc Current Accepting new patients
Norman Behavioral Health Group, LLC Psychologist CurrentSince Nov 15, 2006 Accepting new patients

Locations

2417 Westport Dr
Norman, OK 73069
Phone (405) 360-2827

712 Wall St
Ste 100
Norman, OK 73069
Phone (405) 579-7560

712 Wall St
Norman, OK 73069
Phone (405) 579-1505

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1699764225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 WALL ST",
            "address_2": "STE 100",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696360",
            "telephone_number": "405-579-7560",
            "fax_number": "405-579-7563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 WESTPORT DR",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696337",
            "telephone_number": "405-579-7560",
            "fax_number": "405-579-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "ROBERT",
        "middle_name": "MONROE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2026-07-13",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OK",
            "license": "926",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OK",
            "license": "1539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

Verify at the official NPI Registry.