MELINDA EVELYN MARTIN


Address: 1523 Longbranch Ave, Grover Beach, CA 93433-2508
Phone: 8054737081

MELINDA EVELYN MARTIN (NPI# 1639653546) 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) 1639653546
Entity Type Individual
Full Name MELINDA EVELYN MARTIN
Credential LPT
Practice Address 1523 Longbranch Ave
Grover Beach
CA 93433-2508
Mailing Address 2180 Johnson Ave
San Luis Obispo
CA 93401-4558
Practice Telephone 8054737081
Mailing Telephone 8057814275
Mailing Fax Number 8057811227
Enumeration Date 2018-09-18
Last Update Date 2018-09-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 167G00000X Licensed Psychiatric Technician 37000 CA Nursing Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2180 Johnson Ave, San Luis Obispo, CA 934014558 8057814275 8057811227

Other Providers MELINDA MARTIN

NPI Name Taxonomy Address Enumeration
1255931853 Melinda Martin Homemaker 224 E Livingston St, Celina, OH 45822-1722 2020-11-01
1013097526 Melinda Martin Occupational Therapist 614 Cannon St, Reach Rehabilitation, Helena, MT 59601-2438 2006-10-17
1437615283 Melinda Diane Martin Local Education Agency (LEA) 268 W Saugerties Rd, Saugerties, NY 12477-3142 2019-02-18
1174024632 Melinda Martin Behavior Technician 1101 Arrow Point Dr Ste 404, Cedar Park, TX 78613-7741 2018-02-21
1780056309 Melinda Martin Occupational Therapy Assistant 195 Mattie M Kelly Blvd, Destin, FL 32541-2811 2015-10-22
1558747378 Melinda Jean Martin Counselor 6216 S Lewis Ave, Suite # 180, Tulsa, OK 74136-1044 2015-08-04
1245365071 Melinda M. Martin Dietitian, Registered 270 Park Ave, Huntington, NY 11743-2787 2007-02-22
1942367248 Melinda M Martin Obstetrics & Gynecology 907 Ainsworth Dr, Prescott, AZ 86305-1607 2007-01-03

Office Location

Street Address 1523 LONGBRANCH AVE
City GROVER BEACH
State CA
Zip Code 93433-2508

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477760999 Debbie White Counselor 1523 Longbranch Ave, Grover Beach, CA 93433-2508 2007-05-16
1770091480 Gregory Alexander IIi Social Worker 1523 Longbranch Ave, Grover Beach, CA 93433-2508 2018-01-16
1902318264 Lillian Elaine Rossetti Marriage & Family Therapist 1523 Longbranch Ave, Grover Beach, CA 93433-2508 2017-10-26
1841699444 Madalyn Hansen Counselor 1523 Longbranch Ave, Grover Beach, CA 93433-2508 2014-08-19
1134528805 Co. of San Luis Obispo Case Management 1523 Longbranch Ave, Grover Beach, CA 93433-2508 2014-08-19
1982024956 County of San Luis Obispo Clinic/Center 1523 Longbranch Ave, Grover Beach, CA 93433-2508 2014-04-17
1023459047 Constantine Osepyan Social Worker 1523 Longbranch Ave, Grover Beach, CA 93433-2508 2013-07-08
1780960245 Maria Christina Thammasen Social Worker 1523 Longbranch Ave, Ste 201, Grover Beach, CA 93433-2508 2011-10-28
1376834861 Megan A Jenkins Social Worker 1523 Longbranch Ave, Grover Beach, CA 93433-2508 2011-05-02
1275848988 Slo County Drug & Alcohol Services Community/Behavioral Health 1523 Longbranch Ave, Grover Beach, CA 93433-2508 2010-08-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306382783 Melissa Ann Richardson Registered Nurse 286 S. 16th Street, Grover Beach, CA 93433 2017-01-10
1447637475 Katherine Clair Verwest Counselor 1428 Brighton Ave., Grover Beach, CA 93433 2015-04-28
1033552997 Randall Gaynor Rodman Dentist 200 South 13th Street, No 109, Grover Beach, CA 93433 2013-04-10
1154685352 Allyson N Thompson-knox Marriage & Family Therapist 1125 West Grand Avenue, Suite D, Grover Beach, CA 93433 2012-07-02
1851546436 Jay Alan Turner Counselor 1206 Capitola Street, Grover Beach, CA 93433 2008-11-24
1407043862 Ginette Gallagher II Public Health or Welfare 286 So. 16th St, San Luis Obispo County Health Department, Grover Beach, CA 93433 2007-10-01
1700099090 Cynthia Kae Nelson Counselor 767 Ramona Ave, Grover Beach, CA 93433 2007-05-07
1861614158 Steven Hideki Yoneda Specialist/Technologist 1660 Manhattan Avenue, Grover Beach, CA 93433 2007-05-03
1265557136 Jenna Eyton Wolfson Social Worker 901 Ramona Ave # I, Grover Beach, CA 93433 2007-03-20
1922169655 Donna Maurine Van Pelt Marriage & Family Therapist 150b S 6th St, Grover Beach, CA 93433 2006-12-13
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Taxonomy Information

Taxonomy Code 167G00000X
Grouping Nursing Service Providers
Classification Licensed Psychiatric Technician

Taxonomy Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538556485 Megan Costa Licensed Psychiatric Technician 211 Anita Ave, Grover Beach, CA 93433-3203 2015-04-17
1295885143 Reginald Kevin Holmes Licensed Psychiatric Technician 516 S 14th St, Grover Beach, CA 93433-2843 2007-01-11
1730239690 Pamela Metcalf Licensed Psychiatric Technician 1879 Brighton Ave, Grover Beach, CA 93433-1815 2007-01-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1982203592 Leahann Vedella Licensed Psychiatric Technician 2398 Flatley Cir, Fairfield, CA 94533-8921 2020-10-23
1225635865 Thalia I. Rochel Licensed Psychiatric Technician 450 E Temple St, Los Angeles, CA 90012-4022 2020-10-06
1427665090 Egbert Tantiongco Licensed Psychiatric Technician 1460 E Willow St, Signal Hill, CA 90755-3549 2020-09-28
1114530250 Heather Elizabeth Phillips Licensed Psychiatric Technician 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 2020-08-28
1841801479 Mercedes Samantha Hamilton Licensed Psychiatric Technician 18465 Grand Ave, Lake Elsinore, CA 92530 2020-08-17
1609491935 Elisa Becerra Licensed Psychiatric Technician 745 Park St, Paso Robles, CA 93446-2834 2020-06-12
1518581099 Theresa Lynn Stewart Licensed Psychiatric Technician 1110 Newport Way, Roseville, CA 95661-5315 2020-06-01
1093337511 Christine Ann Scheuermann Licensed Psychiatric Technician 1447 Report Ave, Stockton, CA 95205-3030 2020-05-07
1477189512 Sandra J Foshee Licensed Psychiatric Technician 48918 Mojave Dr, Morongo Valley, CA 92256-9243 2020-03-20
1376177725 Chanel Christine Turpin Licensed Psychiatric Technician 450 Kings County Dr Ste 102, Hanford, CA 93230-5782 2020-02-25
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Competitor

Search similar providers

City GROVER BEACH
Zip Code 93433

Improve Information

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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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