Healthcare Provider Details

I. General information

NPI: 1982573259
Provider Name (Legal Business Name): DR. CAROLINE MARTIN PSYCHOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3380 MONROE AVE STE 206
ROCHESTER NY
14618-4726
US

IV. Provider business mailing address

3380 MONROE AVE STE 206
ROCHESTER NY
14618-4726
US

V. Phone/Fax

Practice location:
  • Phone: 585-206-8958
  • Fax:
Mailing address:
  • Phone: 585-206-8958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CAROLINE MARTIN
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PHD
Phone: 978-390-1959