DR. CAROLYN C MARTIN (NPI# 1710906466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710906466 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN C MARTIN |
| Credential | PHD |
| Practice Address |
8142 Country Village Dr # 102 Cordova TN 38016-2029 |
| Practice Telephone | 9013881893 |
| Practice Fax Number | 9013881995 |
| Mailing Telephone | 9013881893 |
| Mailing Fax Number | 9013881995 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2018-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | P1184 | TN | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
P1184 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3683378 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154568194 | Carolyn Lea Martin | Chiropractor | 5348 Topanga Canyon Blvd Ste 205, Woodland Hills, CA 91364-1757 | 2009-01-13 |
| 1447423108 | Carolyn Marie Martin | Registered Nurse | 17101 Preston Rd Ste 200, Dallas, TX 75248-1374 | 2008-04-02 |
| 1205013307 | Carolyn Goodrich Martin | Legal Medicine | 713 4th St, Kalkaska, MI 49646-9506 | 2008-01-31 |
| 1255304754 | Carolyn J Martin | Optometrist | 100 Verde Valley School Road, Suite 114, Sedona, AZ 86351 | 2006-02-07 |
| 1831175462 | Carolyn Johanna Martin | Emergency Medicine | 400 Ne Mother Joesph Place, Vancouver, WA 98664 | 2005-12-15 |
| 1669465134 | Carolyn M. Martin | Obstetrics & Gynecology | 621 S New Ballas Rd Ste 2007b, Saint Louis, MO 63141-8265 | 2005-08-30 |
| 1134607971 | Carolyn Martin | Social Worker | 55 Colby St, Colebrook, NH 03576-3047 | 2018-08-03 |
| 1659870053 | Carolyn Rae Martin | Counselor | 1406 6th Ave N, Saint Cloud, MN 56303-1900 | 2018-02-12 |
| 1285171207 | Carolyn Martin | Social Worker | 740 N 6th Ave, Steubenville, OH 43952-1844 | 2017-01-28 |
| 1194018283 | Carolyn Dianne Martin | Marriage & Family Therapist | 12351 W 96th Ter, Ste.300, Lenexa, KS 66215-4409 | 2011-05-23 |
| Street Address |
8142 COUNTRY VILLAGE DR # 102 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38016-2029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886872 | Megan Scott Bolton | Physical Therapist | 8110 Cordova Road Suite 107, Cordova, TN 38016 | 2020-06-23 |
| 1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
| 1376195842 | Robert Cody Heismann | Physical Therapist | 8110 Cordova Rd, Ste 107, Cordova, TN 38016 | 2019-07-15 |
| 1881189702 | Carolyn Bean | Home Health Aide | 1786 Beaver Trail Dr, Cordova, TN 38016 | 2018-06-22 |
| 1255776886 | Suzanne Elaine Baker | Family Medicine | 2257 North Germantown Parkway, Memphis, TN 38016 | 2013-05-09 |
| 1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
| 1114186624 | Rebecca L Bills | Optometrist | 1795 N Germantown Pkwy, Cordova, TN 38016 | 2008-06-09 |
| 1679784128 | Linda Kay Yates | Emergency Medicine | 1401 Dexter Lane, Cordova, TN 38016 | 2007-05-25 |
| 1417168386 | Healthquest | Psychiatry & Neurology | 58 Timber Creek, Cordova, TN 38016 | 2007-05-24 |
| 1114079795 | Barbara T Henking | Psychologist | 8134 Country Village, #102, Cordova, TN 38016 | 2007-01-17 |
| Find all providers in zip 38016 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295163228 | Princess Coleman | Psychologist | 1539 Fox Trace Dr, Cordova, TN 38016-5706 | 2013-10-30 |
| 1154601862 | Mardi Michele Smith | Psychologist | 543 Javelin Cv, Cordova, TN 38018-7674 | 2011-08-25 |
| 1790927705 | Michael W Davidson | Psychologist | 154 Timber Creek Dr Ste 4, Cordova, TN 38018-4252 | 2009-04-06 |
| 1497956825 | Pediatric Adolescent Center | Psychologist | 882 Willow Tree Cir Ste 201, Cordova, TN 38018-3118 | 2007-05-31 |
| 1114079795 | Barbara T Henking | Psychologist | 8134 Country Village, #102, Cordova, TN 38016 | 2007-01-17 |
| 1427076991 | John Sherwood Leite | Psychologist | 8134 Country Village Dr, Suite 102, Cordova, TN 38016-2029 | 2006-07-17 |
| 1518983196 | Mary H Wanat | Psychologist | 8134 Country Village Drive, Suite 102, Cordova, TN 38018-2029 | 2006-07-15 |
| 1386671352 | Tracy Mckee Agostin | Psychologist | 8820 Trinity Rd Ste 202, Cordova, TN 38018-2735 | 2006-06-27 |
| 1750808713 | Dickens Psychological Services LLC | Psychologist | 150 Timber Creek Dr Ste 6, Cordova, TN 38018-4236 | 2017-08-29 |
| 1043639818 | Memphis Integral Neurofeedback Institute LLC | Psychologist | 758 Walnut Knoll Ln, Suite 101, Cordova, TN 38018-3112 | 2014-04-09 |
| Find all providers in CORDOVA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.