CHARLES R. MARTIN, PH.D., LLC
NPI 1386189314
Psychologist - Counseling in Gainesville, FL

Active since December 29, 2016
2631 NW 41ST ST, E-6, GAINESVILLE, FL 32606(352) 375-7756 Get Directions Write a Review

NPPES record last updated: December 29, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Charles R. Martin, Ph.d., Llc NPPES

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

CHARLES R. MARTIN, PH.D., LLC (NPI 1386189314) is a healthcare organization registered as a counseling in Gainesville, Florida and active in the NPI registry since December 2016. The organization lists Charles R Martin, President, as its authorized official.

NPPES Registry Identity

NPI1386189314
Entity TypeOrganization
Primary Taxonomy103TC1900X
Legal Business NameCHARLES R. MARTIN, PH.D., LLC
Location Address2631 NW 41ST ST, E-6Gainesville, FL 32606-7470
Mailing Address2631 Nw 41st St, E-6Gainesville, FL 32606-7470 · (352) 375-7756
Organization SubpartNo
Authorized OfficialCharles R MartinPresident · (352) 375-7756
Enumeration DateDecember 29, 2016
✔ NPI 1386189314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License✔ Licensed in FL · PY5214
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
2631 NW 41ST ST, Gainesville, FL 32606

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles R. Martin, Ph.d., Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Charles R. Martin, Ph.D., LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1407071731
3600 NW 43RD ST SUITE E-4
Gainesville, FL 32606
(352) 375-7756
✔ PECOS✔ Accepts Medicare0.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Charles R. Martin, Ph.D., LLC's NPI number?

The NPI number for Charles R. Martin, Ph.D., LLC is 1386189314. It was assigned to this organization in the NPPES registry on December 29, 2016.

Where is Charles R. Martin, Ph.D., LLC located?

Charles R. Martin, Ph.D., LLC is located at 2631 NW 41st St E-6, Gainesville, FL 32606. The listed phone number is (352) 375-7756.

What is Charles R. Martin, Ph.D., LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Charles R. Martin, Ph.D., LLC enrolled in Medicare?

Yes. Charles R. Martin, Ph.D., LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Charles R. Martin, Ph.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Charles R. Martin, Ph.D., LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Charles R. Martin, Ph.D., LLC was last updated on December 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.