Individual provider · Type 1 NPI

Martin Joseph De Vita, PhD

Clinical Psychologist · Fort Drum, NY

NPI number 1629692991 Active

Practice location

11050 Mt Belvedere Blvd
Fort Drum, NY 13602-2603

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Clinical Psychologist Primary	103TC0700X	0810007818 (VA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1629692991

Martin Joseph De Vita, PhD's National Provider Identifier is 1629692991, issued on Jun 2, 2020. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Drum, NY. The record was last updated on Jul 20, 2026.