Healthcare Provider Details

I. General information

NPI: 1144178955
Provider Name (Legal Business Name): CAITLIN MARTIN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8920 SOUTHPOINTE DR STE E1
INDIANAPOLIS IN
46227-7505
US

IV. Provider business mailing address

615 CHERRY ST APT 200
TERRE HAUTE IN
47807-3127
US

V. Phone/Fax

Practice location:
  • Phone: 216-468-5000
  • Fax: 216-456-8128
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number20044026A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: