Individual provider · Type 1 NPI
Alisha Martin, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Hauppauge, NY
NPI number
1184339301
Active
Practice location
150 Motor Pkwy Ste 401
Hauppauge, NY 11788-5108
Fax (949) 419-3482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 406754 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 9562959 (FL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1184339301
Alisha Martin, PMHNP-BC's National Provider Identifier is 1184339301, issued on Jan 23, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Hauppauge, NY. The record was last updated on Jul 16, 2025.