Marty P. Witucki, PH.D.

Clinical Psychologist (CMS) · Gravette, AR

Call (479) 787-5221 Directions

At a glance

1101 Jackson St Sw, Gravette, AR 72736-9121

NPPES record updated May 22, 2025. Public records can lag behind changes at a practice.

Before you call: a quick checklist
  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Medicare & insurance

Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.

How to check your coverage

Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.

Check the official Medicare directory ↗

Practice location

1101 Jackson St Sw
Gravette, AR 72736-9121

Additional reported practice locations

3214 Nw Avignon Way
Suite 2
Bentonville, AR 727123916
Phone: 4792718778
Fax: 8882076093
803 Se Plaza Ave Ste 7
Bentonville, AR 727127830
Phone: 4795950333
3333 S Pinnacle Hills Pkwy Ste 435
Rogers, AR 727589095
Phone: 4792354146
REPORTED BACKGROUND

Education & affiliations

Medical / professional school
Not reported in this file
Graduation year
1993
CMS specialties
Clinical Psychologist

Practice groups

Reported hospital affiliations

Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.

Source: CMS National Downloadable File · Published Oct 15, 2026.

Source: CMS Facility Affiliation Data · Published Oct 15, 2026.

Advertisement
Advertising spaceAdvertisements are separate from provider records.
PUBLISHED MEDICARE ACTIVITY

Procedures in the public data

Reported activity can help you ask more informed questions about a practice’s services.

No displayed procedure-category record in this release. This does not mean the clinician performs no procedures.

CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology

Source: CMS Utilization Data · Published Oct 15, 2026.

Service-mix comparison is unavailable for this NPI in the imported Medicare service file.

PAYMENT TRANSPARENCY

Industry-reported general payments

No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.

Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.

Professional details: NPI, taxonomy & registry record
NPI1477587772
Call Directions

Registry details

Primary taxonomy
Clinical Psychologist (CMS)
Taxonomy code
103TC0700X
Enumeration date
Jul 10, 2006
Record updated
May 22, 2025
More registry details
Provider type
Individual · Type 1
Reported credentials
PH.D.

Reported taxonomies and licenses

Specialty details in registry

103TC0700X

License reported: 263 ND

Specialty details in registry

103TC0700X · Primary

License reported: 16-22P AR

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1101 Jackson St Sw
Gravette, AR 72736-9121
Phone
(479) 787-5221
Fax
(479) 787-5613
Mailing address
1101 JACKSON ST SW

GRAVETTE, AR 727369121
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

Report a directory issue