Marty Witucki, PH.D.
NPI 1477587772 · Clinical Psychologist · Gravette, AR
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1477587772
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 263 (ND)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 3214 Nw Avignon WaySuite 2Bentonville, AR 72712-3916Phone: (479) 271-8778Fax: (888) 207-6093
- 803 Se Plaza Ave Ste 7Bentonville, AR 72712-7830Phone: (479) 595-0333
- 3333 S Pinnacle Hills Pkwy Ste 435Rogers, AR 72758-9095Phone: (479) 235-4146
Registry dates
- Enumerated
- 2006-07-10
- Last updated
- 2025-05-22
- Certified
- 2025-05-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.