JOHN THOMAS MARTIN PHD
NPI 1780255968
Clinical Neuropsychologist in Cedar Rapids, IA

Q: What is John Martin's NPI number?

The NPI number for John Martin is 1780255968. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Q: What is John Martin's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for John Martin was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 July 08, 2021PECOS Enrolled

1026 A AVE NE, CEDAR RAPIDS, IA 52402(319) 369-7331 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About John Thomas Martin Phd NPPES

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

JOHN THOMAS MARTIN PHD (NPI 1780255968) is an individual clinical neuropsychologist in Cedar Rapids, Iowa and active in the NPI registry since July 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1780255968

Entity TypeIndividualMale

Primary Taxonomy103G00000X

Provider Legal NameJOHN THOMAS MARTINCredential: PHD

Location Address1026 A AVE NECedar Rapids, IA 52402-5036

Mailing Address1026 A Ave NeCedar Rapids, IA 52402-5036 · (319) 369-7331

Phone(319) 369-7331

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 8, 2021

Last NPPES UpdateJuly 2, 2026

NPPES CertifiedJuly 2, 2026

✔ NPI 1780255968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologistTaxonomy 103T00000X

1026 A AVE NE, Cedar Rapids, IA 52402

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Thomas Martin Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648737817

PECOS Enrollment IDI20260806004329

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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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