JANICE DIANNE MARTIN (NPI# 1417977802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417977802 |
| Entity Type | Individual |
| Full Name | JANICE DIANNE MARTIN |
| Credential | PH.D. |
| Practice Address |
1891 Old Trenton Road Clarksville TN 37040 |
| Mailing Address |
Po Box 30429 Clarksville TN 37040-0008 |
| Practice Telephone | 9315524171 |
| Practice Fax Number | 9315519485 |
| Mailing Telephone | 9315524171 |
| Mailing Fax Number | 9315519485 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-06-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
2046 | TN | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2046 | TN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245693753 | Janice Martin | Social Worker | 5302 N Suwanee Ave, Tampa, FL 33603-2152 | 2016-04-01 |
| 1013174473 | Janice Kay Martin | Registered Nurse | 8924 Kincaid Ct, Benbrook, TX 76116-1344 | 2008-05-21 |
| 1679920540 | Janice Martin | Pharmacist | 1755 W Ogden Ave, Naperville, IL 60540-3937 | 2016-05-19 |
| 1134598873 | Janice Martin | Nurse Practitioner | 504 Medical Center Blvd, Conroe, TX 77304-2808 | 2015-09-23 |
| 1144483264 | Janice Louise Martin | Speech-Language Pathologist | 743 Spring St Ne, Northeast Ga Medical Center, Gainesville, GA 30501-3715 | 2008-07-09 |
| 1841415940 | Janice E Martin | Counselor | 1957 Hoover Ct, Suite 218, Hoover, AL 35226-3622 | 2007-04-16 |
| 1073655445 | Janice R Martin | Registered Nurse | 85 Sandy Bottom Rd, Coventry, RI 02816-5863 | 2007-02-13 |
| 1750432910 | Janice Martin | Physical Therapy Assistant | 557 N Washington St, Janesville, WI 53548-2907 | 2007-01-15 |
| 1336205350 | Janice M Martin | Social Worker | 407 E Main St, Port Jefferson, NY 11777-1866 | 2006-12-28 |
| 1215966536 | Janice Martin | Pediatrics | 12541 Foster St, Suite 260, Overland Park, KS 66213-2630 | 2006-06-30 |
| Street Address |
1891 OLD TRENTON ROAD |
| City | CLARKSVILLE |
| State | TN |
| Zip Code | 37040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710034277 | Cheri L Premeau | Psychologist | 1891 Old Trenton Road, Clarksville, TN 37040 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124380 | Clarksville Treatment Center, LLC | Clinic/Center | 495 Dunlop Lane, Clarksville, TN 37040 | 2019-10-04 |
| 1295384956 | Dena Marie Borchick | Technician | 3779 Cindy Jo Dr. N, Clarksville, TN 37040 | 2019-09-05 |
| 1477014488 | Emily Allen | Dentist | 930 Hwy 76, Clarksville, TN 37040 | 2019-03-31 |
| 1730640566 | Latoya Ewert | Counselor | Centerstone Clarksville Harriet Cohn Center, 511 8th Street, Clarksville, TN 37040 | 2019-03-26 |
| 1356811988 | Jamie Coles | Behavior Technician | 851 Professional Park Drive 851 Profesiional Park Drive, Clarksville, TN 37040 | 2018-11-27 |
| 1518448554 | Bandel Counseling Service | Clinic/Center | 113 3rd St., Suite 25, Clarksville, TN 37040 | 2018-08-28 |
| 1477052520 | Bridget Stokes | Behavior Technician | 2277 Wilma Rudolph Blvd., Suite C #259, Clarksville, TN 37040 | 2018-02-05 |
| 1053824334 | Sandra Loren Coates | Nurse Practitioner | 980 Professional Park Dr Ste C, Clarksville, TN 37040 | 2017-11-09 |
| 1902328362 | Terri Brooke Roach | Registered Nurse | 651 Dunlop Lane, Clarksville, TN 37040 | 2017-07-07 |
| 1093244428 | Nikkia Deneil Bell | Behavior Technician | 139 E. Old Trenton Rd, Suite B, Clarksville, TN 37040 | 2017-06-08 |
| Find all providers in zip 37040 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033586748 | Dannie Harris | Psychologist | 1064 S Riverside Dr Ste D, Clarksville, TN 37040-4746 | 2015-08-28 |
| 1841687456 | Brighter Day Health LLC | Psychologist | 840 Glastonbury Ct, Clarksville, TN 37043-5944 | 2015-04-21 |
| 1336406016 | Dr. E. Mcpherson Botts, Psy.d. | Psychologist | 399 Dover Rd Unit B, Clarksville, TN 37042 | 2012-04-18 |
| 1306118948 | Jeffrey Glenn Rutter | Psychologist | 524 College St, Clarksville, TN 37040-3255 | 2012-01-28 |
| 1902102528 | Claudia Joe Salter | Psychologist | 6100 Daylong Ln Ste 103, Clarksville, MD 21029 | 2011-01-28 |
| 1275866394 | Sarah Capri Davenport | Psychologist | 1329 Applegate Lane, Southern Indiana Rehab Hospital, Clarksville, IN 47129 | 2009-09-08 |
| 1497908859 | Elizabeth Mcpherson Botts | Psychologist | 399 Dover Rd, Clarksville, TN 37042-4133 | 2008-10-29 |
| 1093758591 | Keith William Hannan | Psychologist | 12037 Floating Clouds Path, Clarksville, MD 21029-1678 | 2006-06-13 |
| 1245210475 | Suzanne Michelle Guerzon | Psychologist | 12840 Brighton Dam Rd, Clarksville, MD 21029-1412 | 2006-01-23 |
| 1992706022 | Denise L Squire | Psychologist | 200 Commerce Street, Suite E, Clarksville, TN 37040 | 2005-08-10 |
| Find all providers in CLARKSVILLE | ||||
| City | CLARKSVILLE |
| Zip Code | 37040 |
Please comment or provide details below to improve the information on JANICE DIANNE MARTIN.
| 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.