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CARISSA MARTIN PSY D
NPI 1912373556
Psychologist - Clinical in Fulton, MO

Active since August 18, 2015
600 E 5TH ST, FULTON, MO 65251(573) 592-3355 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carissa Martin Psy D NPPES

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

CARISSA MARTIN PSY D (NPI 1912373556) is an individual clinical provider in Fulton, Missouri, licensed in Missouri (2020004458) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1912373556
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameCARISSA MARTINCredential: PSY D
Location Address600 E 5TH STFulton, MO 65251-1753
Mailing Address2309 W Broadway Apt 113Columbia, MO 65203-1274 · (502) 472-4499
Phone(573) 592-3355
Sole ProprietorYes
Enumeration DateAugust 18, 2015
Last NPPES UpdateDecember 16, 2020
NPPES CertifiedDecember 16, 2020
✔ NPI 1912373556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MO · 2020004458
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.
600 E 5TH ST, Fulton, MO 65251
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Other Names 1

Former Name (1)Carissa Martin Psy D

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.

STATE OF MISSOURI
Case Management
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-4100
BRYAN ZOLNIKOV PH.D.
Psychologist
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-2623
ERIC MARTIN PH.D.
Psychologist
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-2623
STATE OF MISSOURI
Psychiatric Hospital
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-4100
DR. ROBERT B SEXE M.D.
Surgery
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-2793
DR. SHARON ROBBINS PH.D.
Psychologist
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-3365
STATE OF MISSOURI
Psychiatry & Neurology (Psychiatry)
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-4100
ANDREW WHITE DNP, FNP-C
Nurse Practitioner (Family)
600 E 5TH ST
FULTON, MO 65251
Callaway County (573) 592-2765

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 Carissa Martin's NPI number?

The NPI number for Carissa Martin is 1912373556. It was assigned to this individual provider in the NPPES registry on August 18, 2015. The provider is also known as Carissa Martin Psy D.

Where is Carissa Martin located?

Carissa Martin practices at 600 E 5th St, Fulton, MO 65251. The listed phone number is (573) 592-3355.

What is Carissa Martin's specialty?

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

When was this NPI record last updated?

The NPPES record for Carissa Martin was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.