DR. REBECCA MARTIN (NPI# 1548627995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548627995 |
| Entity Type | Individual |
| Full Name | DR. REBECCA MARTIN |
| Credential | PSYD |
| Practice Address |
24511 W Jayne Ave Coalinga CA 93210-9503 |
| Practice Telephone | 5595775801 |
| Mailing Telephone | 5595775801 |
| Enumeration Date | 2016-01-15 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
PSY27595 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1616 W Shaw Ave Ste B4, Fresno, CA 937113513 | 5592933174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790230100 | Rebecca Marie Martin | Registered Nurse | 9943 165th Ave Nw, Elk River, MN 55330-6301 | 2016-08-16 |
| 1952753527 | Rebecca Martin | Social Worker | 431 East Broad Street, Columbus, OH 43215 | 2016-07-07 |
| 1396058749 | Rebecca Lynn Martin | Licensed Practical Nurse | 102 Hamden Drive, Syracuse, NY 13208 | 2010-07-14 |
| 1801059142 | Rebecca Jill Martin | Psychologist | 900 Dutchess Tpke, Poughkeepsie, NY 12603-1554 | 2008-07-07 |
| 1275792723 | Rebecca Leigh Martin | Dentist | 316 Stephenson Ave, Savannah, GA 31405-5929 | 2008-06-09 |
| 1528119005 | Rebecca Lynn Martin | Speech-Language Pathologist | 1900 N Maud Ave, 2r, Chicago, IL 60614-4908 | 2007-01-13 |
| 1376632919 | Rebecca Dawn Martin | Clinic/Center | 10575 68th Ave Ste A2, Seminole, FL 33772-6023 | 2006-10-12 |
| 1801874417 | Rebecca M Martin | Emergency Medicine | 10906 W Sycamore Hills Dr, Fort Wayne, IN 46814-9334 | 2006-01-04 |
| 1891312690 | Rebecca Diane Martin | Nurse Practitioner | 19 Sprint Dr Ste 2, Carlisle, PA 17015-7002 | 2020-06-29 |
| 1043852015 | Rebecca Martin | Technician | 1005 Terminal Way Ste 125, Reno, NV 89502-2198 | 2019-10-11 |
| Street Address |
24511 W JAYNE AVE |
| City | COALINGA |
| State | CA |
| Zip Code | 93210-9503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598753956 | Jong Yeoung Moon | Internal Medicine | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2005-10-11 |
| 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 |
| 1811479173 | Thai-son Nguyen | Pharmacist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-09-04 |
| 1740760461 | Jeffrey Jay Davis | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-08-21 |
| 1114415312 | Alynna Pena | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210 | 2018-04-24 |
| 1770070922 | Kevin John Miller | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-04-13 |
| 1366949687 | Destarte Lindaine Good | Counselor | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-04-12 |
| 1215434543 | Jheanett Portobanco | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-04-12 |
| 1780181222 | Department of State Hospital Coalinga | Clinic/Center | 24511 W Jayne Ave, Coalinga, CA 93210-9516 | 2018-04-11 |
| 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 | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740760461 | Jeffrey Jay Davis | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2018-08-21 |
| 1174867063 | Richelle Marie Barb | Psychologist | 24863 W Jayne Ave, Coalinga, CA 93210-9502 | 2012-11-16 |
| 1265786743 | Hilary Trytten | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2012-11-05 |
| 1316273931 | Doriann Hughes | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2009-11-02 |
| 1659548592 | Daisy Minter | Psychologist | 24863 W Jayne Ave, Pleasant Valley State Prison, Coalinga, CA 93210-9502 | 2008-05-09 |
| 1215121678 | Tracy Dern | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2007-08-29 |
| 1962437996 | Delores A Shafer | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2006-07-11 |
| 1588694236 | Clint J Soares | Psychologist | 24511 W Jayne Ave, Coalinga, CA 93210-9503 | 2006-07-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962049130 | Ashley Cohen | Psychologist | 320 Linda Dr, Hollister, CA 95023-6646 | 2019-12-05 |
| 1174185540 | Daisy Covarrubias | Psychologist | 9727 Diana Ave, Riverside, CA 92503-4281 | 2019-07-05 |
| 1538620786 | San Diego Forensic Psychology Corporation | Psychologist | 4640 Cass Street, # 90422, San Diego, CA 92109 | 2019-03-29 |
| 1982169587 | Jocelyn Roland | Psychologist | 2937 Veneman Ave Ste B125, Modesto, CA 95356-0690 | 2019-02-07 |
| 1265997936 | Shanda Angioli | Psychologist | 4640 Cass St # 90422, San Diego, CA 92109-2804 | 2019-02-06 |
| 1841755626 | Brianna Marie Alcantar | Psychologist | 855 E Laurel Dr Bldg H, Salinas, CA 93905-1300 | 2019-02-05 |
| 1316423692 | Millie Georganna Herrera | Psychologist | 4001 State Higheay 104, Ione, CA 95640 | 2018-07-19 |
| 1003308446 | Kiara Dixon | Psychologist | 15501 San Pablo Ave # G-317, Richmond, CA 94806-5848 | 2018-06-01 |
| 1700322633 | Lindsay Heber | Psychologist | 28204 Picadilly Pl, Castaic, CA 91384-3830 | 2017-01-17 |
| 1295193738 | Schuyler Weifu Liao | Psychologist | 2576 W San Ramon Ave, Fresno, CA 93711-2749 | 2016-01-28 |
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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.