DR. PATRICIA MARTIN (NPI# 1164627154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164627154 |
| Entity Type | Individual |
| Full Name | DR. PATRICIA MARTIN |
| Credential | PSY.D. |
| Practice Address |
11911 San Vicente Blvd Ste 240 Los Angeles CA 90049-6619 |
| Practice Telephone | 3109912632 |
| Mailing Telephone | 3109912632 |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY16482 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407308091 | Patricia Martin | Counselor | 453 Madison Ave, Hatboro, PA 19040-2143 | 2016-10-29 |
| 1912338203 | Patricia Martin | Emergency Medical Technician, Paramedic | 18103 Canterbury Rd, Cleveland, OH 44119-1642 | 2013-12-11 |
| 1942479183 | Patricia Mary Martin | Physical Therapist | 308 N Grass Valley Rd, Blue Jay, CA 92317-0058 | 2008-02-21 |
| 1629284278 | Patricia Lynn Martin | Marriage & Family Therapist | 63846 County Road 35, Suite 2, Goshen, IN 46528-9621 | 2007-05-14 |
| 1679792154 | Patricia Lynn Martin | Licensed Vocational Nurse | 12255 St. Rt. 348, Otway, OH 45657-9504 | 2007-04-24 |
| 1841335056 | Patricia Martin | Physical Therapist | 520 E Boughton Rd, Bolingbrook, IL 60440-2181 | 2007-02-21 |
| 1215099742 | Patricia Martin | Speech-Language Pathologist | 9519 Birch Ave, Mokena, IL 60448-9310 | 2006-12-14 |
| 1346342953 | Patricia Ann Martin | Internal Medicine | 401 Lowell Dr Se Ste 19, Huntsville, AL 35801-3738 | 2006-09-03 |
| 1588688915 | Patricia Martin | Nurse Practitioner | 951 Northwest 13h St, Suite 3-d, Boca Raton, FL 33486 | 2006-07-27 |
| 1114974102 | Patricia Elaine Martin | Acupuncturist | 620 E 5th Ave, Mount Dora, FL 32757-5626 | 2006-05-27 |
| Street Address |
11911 SAN VICENTE BLVD STE 240 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90049-6619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760873913 | Lynn Valverde Marriage & Family Therapy Prof Corp | Marriage & Family Therapist | 11911 San Vicente Blvd Ste 240, Los Angeles, CA 90049-6619 | 2015-02-10 |
| 1215356118 | Sarah Oreck | Psychiatry & Neurology | 11911 San Vicente Blvd Ste 240, Los Angeles, CA 90049 | 2014-04-08 |
| 1538445325 | Jennifer Dawn Musselman | Counselor | 11911 San Vicente Blvd Ste 240, Los Angeles, CA 90049-6619 | 2011-10-25 |
| 1427209949 | Scott Owen Harris | Psychologist | 11911 San Vicente Blvd Ste 240, Los Angeles, CA 90049-6619 | 2008-10-02 |
| 1467649863 | Jorge Cherbosque | Psychologist | 11911 San Vicente Blvd Ste 240, Los Angeles, CA 90049-6619 | 2007-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
| 1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
| 1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
| 1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
| 1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
| 1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
| 1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
| 1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
| Find all providers in zip 90049 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1851990626 | Sarah R Martin | Psychologist | 650 Charles E Young Dr S # 12-096, Los Angeles, CA 90095-8347 | 2020-10-22 |
| 1184223851 | Emily Jenchura | Psychologist | 11301 Wilshire Blvd (116b, Rm. A-130), Los Angeles, CA 90073 | 2020-10-22 |
| 1679189377 | Dr. Sandra Jeanne Brim, Ph.d. | Psychologist | 11601 Gorham Ave Apt 1, Los Angeles, CA 90049-4738 | 2020-09-17 |
| 1194330274 | Marilyn S Zweifach | Psychologist | 3606 Barry Avenue, Los Angeles, CA 90066 | 2020-09-15 |
| 1538787874 | Molly Burrets | Psychologist | 5619 N Figueroa St Apt 219, Los Angeles, CA 90042-4979 | 2020-07-13 |
| 1770100737 | Mary Carde | Psychologist | 1572 Ensley Ave, Los Angeles, CA 90024-5325 | 2020-06-25 |
| 1134745193 | Bloom Psychology, Inc. | Psychologist | 3800 Barham Blvd Ste 420, Los Angeles, CA 90068-1042 | 2020-06-24 |
| 1639799406 | Joseph Aguayo | Psychologist | 11849 W Olympic Blvd Ste 202, Los Angeles, CA 90064-1148 | 2020-04-22 |
| 1912536020 | Butterflly Health, Inc. | Psychologist | 3530 Wilshire Blvd Ste 1650, Los Angeles, CA 90010-2371 | 2020-04-02 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90049 |
Please comment or provide details below to improve the information on DR. PATRICIA MARTIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.