{"npi":"1275632242","type":"NPI-1","status":"active","name":{"display":"Dr. Martin Cleveland PHD","other":[],"first":"MARTIN","last":"CLEVELAND","middle":"ERVIN","credential":"PHD"},"specialty":{"primary_taxonomy":"103TC0700X","primary_taxonomy_description":"Clinical Psychologist","slug":"clinical-psychologist","schema_org_specialty":null,"all":[{"code":"103TC0700X","description":"Clinical Psychologist","primary":true,"state":"TN","license":"P 1078"}]},"addresses":[{"purpose":"LOCATION","street_1":"BLANCHFIELD ARMY COMMUNITY HOSPITAL","city":"FORT CAMPBELL","state":"KY","postal_code":"422235349","country_code":"US","street_2":"650 JOEL DRIVE, BLDG E","phone":"2707984097"},{"purpose":"MAILING","street_1":"5980 DESERT STORM AVE RM 33","city":"FORT CAMPBELL","state":"KY","postal_code":"422235514","country_code":"US","phone":"2704611563"}],"license":{"state":"TN","number":"P 1078"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"36822411","state":"TN","issuer":null},{"type_code":"01","label":"Other","value":"4141240","state":"TN","issuer":"BCBS OF TN"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-09-22","last_updated":"2025-01-15","_meta":{"source":"NPPES","snapshot_date":"2025-01-15","doc_url":"https://findmynpi.com/api"}}