Charles R. Martin, PH.D., LLC
NPI 1386189314ActiveOrganization· Psychologist, Counseling· Gainesville, FL
Psychologist, Counseling in Gainesville, Florida, registered in NPPES in December 2016. The authorized official on file is Charles R. Martin, PH.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1386189314 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 29, 2016 |
| Last updated in NPPES | Dec 29, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | PY5214 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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