DR. MICHAEL MARTIN (NPI# 1366871436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366871436 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL MARTIN |
| Credential | PH.D. |
| Practice Address |
24863 W Jayne Ave Coalinga CA 93210-9502 |
| Mailing Address |
Po Box 891 Coalinga CA 93210-0891 |
| Practice Telephone | 5599354900 |
| Mailing Telephone | 5599354900 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2013-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY7505 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518927 | Michael Martin | Technician | 902 Woodlawn Ave, Beckley, WV 25801-6430 | 2020-11-06 |
| 1134779721 | Michael C Martin | Counselor | 28 Catherine Ave, Saddle Brook, NJ 07663-4806 | 2019-09-16 |
| 1043865025 | Michael Andrew Martin | Hearing Instrument Specialist | 1692 Stonegate Dr, Greenwood, IN 46142-5013 | 2019-08-06 |
| 1376037416 | Michael Timothy Martin | Social Worker | 1816 Front St, Durham, NC 27705-2582 | 2018-06-21 |
| 1073006714 | Michael Martin Jr. | Counselor | 125 E Park Ave, Haddon Twp, NJ 08107-1034 | 2018-06-07 |
| 1811442783 | Michael Martin | Physical Therapist | 888 White Plains Rd Fl 2, 209, Trumbull, CT 06611-4552 | 2016-08-22 |
| 1710378112 | Michael Martin | Psychologist | 26005 E 107th St S, Broken Arrow, OK 74014-3944 | 2015-02-07 |
| 1184064032 | Michael Martin II | Behavior Technician | 1915 Aerotech Dr Ste 190, Colorado Springs, CO 80916-4213 | 2013-06-25 |
| 1912268384 | Michael Jack Martin | Marriage & Family Therapist | 358 Sea Ridge Rd Apt 1, Aptos, CA 95003-4356 | 2012-06-01 |
| 1386920858 | Michael E Martin | Chiropractor | 13060 Marlette Dr, La Mirada, CA 90638-1933 | 2011-10-28 |
| Street Address |
24863 W JAYNE AVE |
| City | COALINGA |
| State | CA |
| Zip Code | 93210-9502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942350723 | Malia Sherman | Counselor | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2007-01-12 |
| 1063069714 | Giang Le | Pharmacist | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2019-08-19 |
| 1144769134 | Vera Cholko | Social Worker | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2017-02-23 |
| 1982156709 | Niko Luna Laparan | Pharmacist | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2016-10-27 |
| 1225455744 | Danielle Rene Gonzalez | Social Worker | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2014-03-21 |
| 1669895801 | Steven Baerg | Social Worker | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2014-01-23 |
| 1720420664 | Candy Soares | Psychologist | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2013-07-19 |
| 1740620277 | Neil Martin Waugh | Psychologist | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2013-06-28 |
| 1164862983 | Michael Murphy | Psychologist | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2013-06-25 |
| 1467791731 | Simon Puente IIi | Social Worker | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2013-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427684257 | Corrections and Rehabilitation | Pharmacy | 24863 W. Jayne Avenue, Coalinga, CA 93210 | 2020-03-12 |
| 1710524293 | Harpreet Kaur Badhesha | Registered Nurse | 191 E Polk St, Coalinga, CA 93210 | 2019-12-04 |
| 1669019139 | Avenal Community Health Center | Clinic/Center | 191 E Polk St., Coalinga, CA 93210 | 2019-12-04 |
| 1194218503 | Elizabeth Armstrong | Registered Nurse | 400 W Forest Ave, Appartment # 133, Coalinga, CA 93210 | 2018-06-11 |
| 1003151713 | Porfirio Ramos | Pharmacist | 24511 W. Jayne Avenue, Coalinga State Hospital Pharmacy Department, Coalinga, CA 93210 | 2012-12-06 |
| 1548504251 | Tonya Kay Green | Pharmacist | 265 Forrest Street, Coalinga, CA 93210 | 2012-11-19 |
| 1205105772 | Ratana Yun | Pharmacist | 24863 W. Jayne Ave, Pvsp Pharmacy Department, Coalinga, CA 93210 | 2011-12-29 |
| 1326374166 | Valerie Ann Kelly | Social Worker | 24683 W. Jayne Ave, Coalinga, CA 93210 | 2009-10-29 |
| 1427298850 | Michael Torres Rodriguez I | Counselor | 25863 Jayne Avenue, Coalinga, CA 93210 | 2009-02-25 |
| 1659537819 | Ikumi Hirashima Bisbee | Registered Nurse | 2455 W. Jayne Ave., Coalinga, CA 93210 | 2008-08-06 |
| Find all providers in zip 93210 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477880052 | Henry Eugene Adams | Psychologist | Coalinga State Hospital, 24511 West Jayne Avenue, Coalinga, CA 93210-9778 | 2009-11-03 |
| 1003086885 | John Bradley Lumpkin | Psychologist | 24863 Jayne Ave., Coalinga, CA 93210-8500 | 2008-03-07 |
| 1649815580 | Brittany Shaffer | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2019-11-14 |
| 1093289860 | David Aitken Jr. | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2019-01-15 |
| 1790207231 | Sangil Kwon | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2017-07-15 |
| 1942696893 | Sara S Arad | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2015-04-07 |
| 1053710137 | Tricia Busby | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2014-08-14 |
| 1720420664 | Candy Soares | Psychologist | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2013-07-19 |
| 1740620277 | Neil Martin Waugh | Psychologist | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2013-06-28 |
| 1164862983 | Michael Murphy | Psychologist | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2013-06-25 |
| Find all providers in COALINGA | ||||
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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.