Individual Healthcare Provider
Marty P. Witucki, PH.D.
Provider's NPPES record last updated: May 22, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1477587772
- Primary Specialty
- Psychologist — Clinical
- Practice Location
- Gravette, Arkansas
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 9:16 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Psychologist
Clinical
Behavioral Health & Social Service Providers
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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Taxonomy code 103TC0700X
Provider-Reported License Information
- Psychologist (Arkansas)
- 16-22P
- Psychologist (North Dakota)
- 263
Practice Locations
Practice Location
1101 Jackson St Sw
Gravette, Arkansas 72736-9121
Phone: (479) 787-5221
Additional Practice Location
3214 Nw Avignon Way
Suite 2
Bentonville, Arkansas 72712-3916
Phone: (479) 271-8778
Fax: (888) 207-6093
Additional Practice Location
803 Se Plaza Ave Ste 7
Bentonville, Arkansas 72712-7830
Phone: (479) 595-0333
Additional Practice Location
3333 S Pinnacle Hills Pkwy Ste 435
Rogers, Arkansas 72758-9095
Phone: (479) 235-4146
Record Information
- Enumeration Date
- July 10, 2006
- Provider's NPPES Record Last Updated
- May 22, 2025
- Certification Date
- May 22, 2025
- NPISignal NPPES Dataset
- August 2026
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