Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MARTIN JOSEPH DE VITA PHD
NPI 1629692991
Psychologist - Clinical in Fort Drum, NY

Q: What is Martin De Vita's NPI number?

The NPI number for Martin De Vita is 1629692991. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Q: What is Martin De Vita's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Martin De Vita was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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 June 02, 2020

11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602(315) 783-8792 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 20, 2026, Jul 29, 2024, Aug 25, 2023 and 3 more (6 updates tracked since 2020).

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About Dr. Martin Joseph De Vita Phd NPPES

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

DR. MARTIN JOSEPH DE VITA PHD (NPI 1629692991) is an individual clinical provider in Fort Drum, New York, licensed in Virginia (0810007818) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1629692991

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. MARTIN JOSEPH DE VITACredential: PHD

Location Address11050 MT BELVEDERE BLVDFort Drum, NY 13602-2603

Mailing Address11050 Mt Belvedere BlvdFort Drum, NY 13602-2603

Phone(315) 783-8792

Sole ProprietorNo

Enumeration DateJune 2, 2020

Last NPPES UpdateJuly 20, 20266 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1629692991 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 VA · 0810007818

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

11050 MT BELVEDERE BLVD, Fort Drum, NY 13602

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Other Providers at the Same Location NPPES 20

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

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