DR. JUNE MARTIN, MARRIAGE AND FAMILY THERAPIST, INC.


Address: 215 North San Mateo Drive, Suite #2, San Mateo, CA 94401
Phone: 6503484835

DR. JUNE MARTIN, MARRIAGE AND FAMILY THERAPIST, INC. (NPI# 1225240211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225240211
Entity Type Organization
Organization Name DR. JUNE MARTIN, MARRIAGE AND FAMILY THERAPIST, INC.
Practice Address 215 North San Mateo Drive
Suite #2
San Mateo
CA 94401
Mailing Address 906 Pacific Avenue
Half Moon Bay
CA 94019
Practice Telephone 6503484835
Practice Fax Number 6507128883
Mailing Telephone 6507039986
Mailing Fax Number 6507128883
Enumeration Date 2007-05-04
Last Update Date 2020-08-22
Authorized Official Name DR. JUNE MARIE MARTIN (PRESIDENT)
Authorized Official Telephone 6503484835
Authorized Official Credential PH.D., LMFT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health LMFT30679 CA Agencies

Office Location

Street Address 215 NORTH SAN MATEO DRIVE
SUITE #2
City SAN MATEO
State CA
Zip Code 94401

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1487198339 Johnie Pangelina Behavioral Analyst 242 Peninsula Ave, San Mateo, CA 94401 2016-12-12
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1609233584 Delicia Ortega Behavioral Analyst 424 Peninsula Avenue, San Mateo, CA 94401 2016-01-22
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992252829 Caminar Inc. Community/Behavioral Health 1660 S Amphlett Blvd Ste 11, San Mateo, CA 94402-2520 2016-09-08
1649403486 Healthright 360 Community/Behavioral Health 2015 Pioneer Ct, San Mateo, CA 94403-1781 2009-08-27
1245428473 Training and Health Education Center for Youth Community/Behavioral Health 900 Alameda De Las Pulgas, # 224, San Mateo, CA 94402-3357 2007-10-12
1427242163 County of San Mateo Community/Behavioral Health 2000 Alameda De Las Pulgas Ste 280, San Mateo, CA 94403-1289 2007-09-05
1093920647 Edgewood Center for Children and Families Community/Behavioral Health 1510 Fashion Island Blvd Ste 310, San Mateo, CA 94404-1587 2007-05-14
1184768665 Excell Readiness Center Community/Behavioral Health 22 Tower Rd, San Mateo, CA 94402-4035 2007-02-16
1316084072 Ymca of San Francisco Community/Behavioral Health 1650 S. Amphlett Blvd., Suite 113, San Mateo, CA 94402 2007-01-31
1306983887 Starvista Girls Program Community/Behavioral Health 400 Paul Scannell Drive, San Mateo, CA 94402 2007-01-31
1346395738 Caminar Community/Behavioral Health 2600 S. El Camino Real, 1st Floor, San Mateo, CA 94403 2007-01-24
1710590088 Caminar Community/Behavioral Health 2600 S El Camino Real Ste 200, San Mateo, CA 94403-2382 2020-08-26
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Competitor

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City SAN MATEO
Zip Code 94401

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Dataset Information

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.

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