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

Dr. Marty P. Witucki, PHD

Individual provider Clinical Psychologist · NPI 1477587772

Dr. Marty P. Witucki, PHD is a Clinical Psychologist in Gravette, Arkansas. Qualified in 1993, 33 years ago. Practices with South Wind Psychological Services, a 2-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arkansas and North Dakota.

Years since qualifying
33
Licensed in
AR, ND
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1101 Jackson St SW
Gravette, AR 72736-9121
Phone: (479) 787-5221
Fax: (479) 787-5613
Show map & directions

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

Additional practice locations (3)

  • 3214 Nw Avignon Way, Bentonville, AR 72712-3916 — (479) 271-8778
  • 803 Se Plaza Ave Ste 7, Bentonville, AR 72712-7830 — (479) 595-0333
  • 3333 S Pinnacle Hills Pkwy Ste 435, Rogers, AR 72758-9095 — (479) 235-4146

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 16-22P (AR)
Clinical Psychologist Taxonomy 103TC0700X · Licence 263 (ND)

Record details

NPI number1477587772
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025
Mailing address1101 Jackson St Sw, Gravette, AR 72736-9121

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice South Wind Psychological Services — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount