DR. ANDREW LEE MARTIN PSYD
NPI 1164590923
Psychologist - Clinical in Princeton, NJ

Q: What is Andrew Martin's NPI number?

The NPI number for Andrew Martin is 1164590923. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Q: What is Andrew Martin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Andrew Martin enrolled in Medicare?

No. Andrew Martin has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Andrew Martin was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 01, 2006Opted out of Medicare · through Jul 1, 2028

9 CHARLTON ST, PRINCETON, NJ 08540(609) 454-3214(609) 250-7108 Get Directions Write a Review

NPPES record last updated: April 2, 2019. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Dr. Andrew Lee Martin Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW LEE MARTIN PSYD (NPI 1164590923) is an individual clinical provider in Princeton, New Jersey, licensed in Ohio (6742) and active in the NPI registry since December 2006. He has opted out of Medicare through July 1, 2028 and maintains a secondary practice location in Perrysburg.

NPPES Registry Identity

NPI1164590923

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. ANDREW LEE MARTINCredential: PSYD

Location Address9 CHARLTON STPrinceton, NJ 08540

Mailing Address9 Charlton StPrinceton, NJ 08540-5231 · (609) 454-3214 · Fax (609) 250-7108

Phone(609) 454-3214

Fax(609) 250-7108

Sole ProprietorYes

Enumeration DateDecember 1, 2006

Last NPPES UpdateApril 2, 2019

✔ NPI 1164590923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in OH · 6742

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 03841 (MD)

9 CHARLTON ST, Princeton, NJ 08540

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Secondary Practice Location 1

Location 1330 Louisiana Ave, Suite APerrysburg, OH 43551-1470 · Phone (419) 874-9488 · Fax (419) 874-4822

Other Identifiers 3

Other64161101MD · Bcbs

Medicaid405146700MD

Other77260044DC · Bcbs

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Andrew Lee Martin Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024

Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASSENKA OKSILOFF PSYCHOTHERAPY

Counselor (Mental Health)

9 CHARLTON ST
PRINCETON, NJ 08540

Mercer County (609) 529-1568

DR. DONALD CORR PSY.D.

Psychologist

9 CHARLTON ST, DR. DONALD CORR
PRINCETON, NJ 08540

Mercer County (732) 407-1515

DR. DAVID J ANGELONE PH.D.

Psychologist (Clinical)

9 CHARLTON ST
PRINCETON, NJ 08540

Mercer County (609) 751-6373

PRINCETON PSYCHOLOGICAL CENTER

Psychologist (Clinical)

9 CHARLTON ST
PRINCETON, NJ 08540

Mercer County (609) 658-0368

MR. CHRISTOPHER WEI MS, NCC, LAC

Counselor (Mental Health)

9 CHARLTON ST
PRINCETON, NJ 08540

Mercer County (609) 454-3214

DR. MOLLY SUSAN PALMER PSY.D.

Psychologist (Clinical)

9 CHARLTON ST
PRINCETON, NJ 08540

Mercer County (609) 658-0368

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Martin's NPI number?

The NPI number for Andrew Martin is 1164590923. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Andrew Martin located?

Andrew Martin practices at 9 Charlton St, Princeton, NJ 08540. The listed phone number is (609) 454-3214.

What is Andrew Martin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Andrew Martin enrolled in Medicare?

No. Andrew Martin has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Andrew Martin was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.