Individual provider Active NPI

Martin Louis Fleet, PH.D.

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1699820712
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
001154 Issued in GA
Practice address
1827 Powers Ferry Rd SE
Building 22, Suite 200
Atlanta, GA 30339-5621
Phone
(770) 953-4744
Fax
(770) 953-4640
NPI assigned
Jan 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 001154 GA Primary

Addresses

Primary practice location

1827 Powers Ferry Rd SE
Building 22, Suite 200
Atlanta, GA 30339-5621

Mailing address

1827 Powers Ferry Rd SE
Building 22, Suite 200
Atlanta, GA 30339-5621
Phone (770) 953-4744

Other identifiers 1

IdentifierTypeStateIssuer
00949088AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20040517001231 GA Practitioner - Clinical Psychologist 6709876014 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1827 Powers Ferry Rd SE
Suite 200
Atlanta, GA 30339-5621
Phone 770953474423

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001154GAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Martin L. Fleet, PH.D. Current Accepting new patients
Martin L. Fleet, PH.D., P.C. CurrentSince Jul 1, 1966 Accepting new patients

Locations

1827 Powers Ferry Rd SE
Bldg 22
Atlanta, GA 30339
Phone 770953464042

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699820712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 POWERS FERRY RD SE",
            "address_2": "BUILDING 22, SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395621",
            "telephone_number": "770-953-4744",
            "fax_number": "770-953-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 POWERS FERRY RD SE",
            "address_2": "BUILDING 22, SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395621",
            "telephone_number": "770-953-4744",
            "fax_number": "770-953-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEET",
        "first_name": "MARTIN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "001154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00949088A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.