Martha T Brisky, PHD
Individual provider Active NPI Psychologist · Ramah, NM
NPI 1821129396 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1821129396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 556 (NM)
- Practice address
- 154 El Morro Way N
Ramah, NM 87321 - Phone
- (505) 240-1545
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 248115 | NM | MD | School Psychologist |
| 556 | NM | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 248115 | NM | |
| Psychologist | 103T00000X | 556 | NM | Yes |
Addresses
Primary practice location
154 El Morro Way N
Ramah, NM 87321
Mailing address
HC 61 Box 5069
Ramah, NM 87321-9609
Phone (505) 240-1545
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G9802 | Medicaid | NM |
Other providers in Ramah, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.