DR. DOUGLASS EUGENE MARTIN ED.D.
NPI 1649357211
Psychologist in Gladstone, MO

Active since November 01, 2006
4013 NE 57TH PL, GLADSTONE, MO 64119(816) 536-1828(816) 413-5305 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Douglass Eugene Martin Ed.d. NPPES

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

DR. DOUGLASS EUGENE MARTIN ED.D. (NPI 1649357211) is an individual psychologist in Gladstone, Missouri, licensed in Missouri (PY000307) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1649357211
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. DOUGLASS EUGENE MARTINCredential: ED.D.
Location Address4013 NE 57TH PLGladstone, MO 64119-2268
Mailing Address4013 Ne 57th PlGladstone, MO 64119-2268 · (816) 536-1828 · Fax (816) 413-5305
Fax(816) 413-5305
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateJanuary 20, 2010
NPI 1649357211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MO · PY000307
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X · License PY000307 (MO)
4013 NE 57TH PL, Gladstone, MO 64119

Other Identifiers 1

Other16469011MO · Bc/bs Provider #

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 Douglass Martin's NPI number?

The NPI number for Douglass Martin is 1649357211. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Douglass Martin located?

Douglass Martin practices at 4013 NE 57th Pl, Gladstone, MO 64119. The listed phone number is (816) 536-1828.

What is Douglass Martin's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Douglass Martin was last updated on January 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.