Jeffery Scott Martin, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1903 Issued in AL

Practice address

1025 Femoyer St BLDG 10908
Jbsa Lackland, TX 78236

Phone

(253) 982-1127

NPI assigned

Dec 22, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1700284916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 FEMOYER ST BLDG 10908",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "782365443",
            "telephone_number": "253-982-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 FEMOYER ST BLDG 10908",
            "city": "JBSA LACKLAND",
            "state": "TX",
            "postal_code": "78236",
            "telephone_number": "253-982-1127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Pitsenbarger Blvd Bldg 305",
            "address_purpose": "LOCATION",
            "city": "Joint Base Lewis McChord",
            "state": "WA",
            "postal_code": "984381201",
            "country_code": "US",
            "telephone_number": "253-982-1127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JEFFERY",
        "middle_name": "SCOTT",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-22",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaley Marcinski Nascimento, MD
• David Christopher Mari, D.O.
• Bradley Marron
• Leah Marron
• Conner Marsden, DO
• Frances H. Martinez, LCSW
• Ludwig Marcello Martinez
• Mordecai Davidson Martinez, RN
• Norma Jean Martinez, DNP
• Jared Daniel Mason, DDS

• Clinical Psychologist in Jbsa Lackland, TX
• Providers in Jbsa Lackland, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; 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.