Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Johnathan Martin, PSYD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699128488

Dr. Johnathan Martin, PSYD is a Student in an Organized Health Care Education/Training Program in Salem, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2016
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1970 Roanoke Blvd Salem VA Medical Ctr
Salem, VA 24153-6404
Phone: (540) 982-2463
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810005692 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1699128488
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJuly 18, 2016
Last updated in NPPESMay 15, 2017
Mailing address1970 Roanoke Blvd, Salem Va Medical Center, Salem, VA 24153-6404

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