TAMARA MARTINEZ-MORALES (NPI# 1336572478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336572478 |
| Entity Type | Individual |
| Full Name | TAMARA MARTINEZ-MORALES |
| Practice Address |
725 N 12th Ave Bldg B Arcadia FL 34266-8752 |
| Mailing Address |
700 8th Ave W Ste 101 Palmetto FL 34221-4737 |
| Practice Telephone | 8634941242 |
| Mailing Telephone | 9417764000 |
| Mailing Fax Number | 9418454963 |
| Enumeration Date | 2013-08-13 |
| Last Update Date | 2019-04-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | PY9856 | FL | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PY9856 | FL | Behavioral Health & Social Service Providers |
| Street Address |
725 N 12TH AVE BLDG B |
| City | ARCADIA |
| State | FL |
| Zip Code | 34266-8752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073575320 | Antonio J Larranaga Jr. | Psychiatry & Neurology | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2006-04-03 |
| 1477112993 | Lucie Remy Thomas | Nurse Practitioner | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2019-06-08 |
| 1881252435 | Roshni Dasan | Nurse Practitioner | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2019-05-30 |
| 1366005357 | Susan Ellen Fields | Nurse Practitioner | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2019-04-16 |
| 1710455936 | Jena Liane Lieb | Psychologist | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2018-11-06 |
| 1164999421 | Amanda Waggoner | Psychologist | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2018-10-25 |
| 1518442169 | Elizabeth Forbes | Nurse Practitioner | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2018-09-29 |
| 1386134039 | Mary Loftus | Social Worker | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2018-05-17 |
| 1023516150 | Dallas Carey | Psychologist | 725 N 12th Ave Bldg B, Arcadia, FL 34266 | 2018-01-23 |
| 1033649512 | Michelle Paisley | Social Worker | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2017-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578102471 | Catherine Cosgrave | Nurse Practitioner | 13619 Fl-70, Arcadia, FL 34266 | 2019-12-26 |
| 1194102285 | Catalyst Walk-in Clinic | Clinic/Center | 1707 East Oak Street, Arcadia, FL 34266 | 2015-04-28 |
| 1538562699 | Corinthia Harrison Ross | Counselor | 720 Sw Martin Luther King St, Arcadia, FL 34266 | 2014-10-03 |
| 1770983009 | Terry L Chouinard | General Acute Care Hospital | 1031 E Oak Street, Arcadia, FL 34266 | 2014-08-22 |
| 1922342336 | Ironhead Ranch, Inc. | Assisted Living Facility | 1711 Sw County Rd 760a, Arcadia, FL 34266 | 2012-11-26 |
| 1841534666 | Ironhead Ranch, Inc. | Assisted Living Facility | 2605 Sw Baldwin St, Arcadia, FL 34266 | 2012-11-16 |
| 1336499367 | Precious Angels Home Care | Home Health | 18 N Polk Ave, Arcadia, FL 34266 | 2012-09-18 |
| 1891064721 | Manatee Diagnostic Center, Ltd | Radiology | 833 N Robert Avenue, Arcadia, FL 34266 | 2011-12-21 |
| 1952547853 | Dorothy A Smith | Massage Therapist | 702 N. Robert Ave, Arcadia, FL 34266 | 2008-12-23 |
| 1851588057 | Leslie Krajcovic | Dentist | 930 E Gibson St, Arcadia, FL 34266 | 2007-10-02 |
| Find all providers in zip 34266 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831270289 | Comprehensive Doctors Medical Group Inc. | Psychologist | 150 N. Santa Anita Ave, #735, Arcadia, CA 91006 | 2006-10-18 |
| 1902812191 | Susan J Rice | Psychologist | 150 N Santa Anita Ave, Suite 300, Arcadia, CA 91006-3113 | 2006-07-31 |
| 1710455936 | Jena Liane Lieb | Psychologist | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2018-11-06 |
| 1164999421 | Amanda Waggoner | Psychologist | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2018-10-25 |
| 1023516150 | Dallas Carey | Psychologist | 725 N 12th Ave Bldg B, Arcadia, FL 34266 | 2018-01-23 |
| 1497131544 | Diane M Kedzierski | Psychologist | 725 N 12th Ave, Bldg B, Arcadia, FL 34266-8752 | 2015-07-30 |
| 1689055758 | Mcr Health, Inc. | Psychologist | 707 N 12th Ave, Arcadia, FL 34266-8752 | 2015-06-15 |
| 1255759338 | Andrea Lynn Coverman | Psychologist | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2014-04-04 |
| 1134407141 | Lornitta F Williams-sylvester | Psychologist | 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 | 2011-07-25 |
| 1851535579 | Antonio Anglero Jr. | Psychologist | 725 N 12th Ave Bldg B, Arcadia, FL 34266 | 2009-04-24 |
| Find all providers in ARCADIA | ||||
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| 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.