DAUN HACKETT MARTIN


Address: 11422 Forty Niner Cir, Gold River, CA 95670-7847
Phone: 8312383353

DAUN HACKETT MARTIN (NPI# 1285878959) 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) 1285878959
Entity Type Individual
Full Name DAUN HACKETT MARTIN
Credential PH.D.
Practice Address 11422 Forty Niner Cir
Gold River
CA 95670-7847
Practice Telephone 8312383353
Practice Fax Number 9168520783
Mailing Telephone 8312383353
Mailing Fax Number 9168520783
Enumeration Date 2009-04-26
Last Update Date 2009-04-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist PSY7410 CA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA PSY074100 05
CA MEDI CAL 5798823 01

Office Location

Street Address 11422 FORTY NINER CIR
City GOLD RIVER
State CA
Zip Code 95670-7847

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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

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NPI Name Taxonomy Address Enumeration
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1659688075 Veronica Dobson Psychologist 11344 Coloma Rd Ste 605, Gold River, CA 95670-4463 2010-09-07
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Competitor

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City GOLD RIVER
Zip Code 95670

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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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