JESSAMINE MARTIN (PSY.D.) – Clinical Psychologist, NPI 1033567599
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,669 CLINICAL PSYCHOLOGIST in PA
Provider Addresses for JESSAMINE MARTIN (PSY.D.)
1 EAST BROAD STREET, SUITE 510
BETHLEHEM, PA 18018
Phone: (610) 865-4300
Fax: (402) 483-7045
Type: Mailing
1 East Broad Street, Suite 510
Bethlehem, PA 18018
Phone: (610) 865-4300
Fax: (402) 483-7045
Type: Location
1480 BOSTON POST RD
OLD SAYBROOK, CT 064751750
Phone: (800) 370-3651
Fax: (877) 515-7147
Type: Mailing
2595 INTERSTATE DR STE 103
HARRISBURG, PA 171109378
Phone: (800) 370-3651
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-10-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191015003307 | I | Clinical Psychologist | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90834 | Psychotherapy, 45 minutes | 411 | 56 | $0 |
| 90832 | Psychotherapy, 30 minutes | 92 | 46 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 52 | 52 | $0 |
Insurance plans in this area (ZIP 18018)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| - | PA | |
| Physical Medicine And Rehabilitation | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | PA | |
| E N D O C R I N O L O G Y | PA | |
| - | PA | |
| Clinical Social Worker | PA | |
| Clinical Psychologist | PA |
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