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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 167G00000X | Licensed Psychiatric Technician | 37000 | CA | Nursing Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2180 Johnson Ave, San Luis Obispo, CA 934014558 | 8057814275 | 8057811227 |
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 |
Street Address |
1523 LONGBRANCH AVE |
City | GROVER BEACH |
State | CA |
Zip Code | 93433-2508 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 93433 |
Taxonomy Code | 167G00000X |
Grouping | Nursing Service Providers |
Classification | Licensed Psychiatric Technician |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | GROVER BEACH |
Zip Code | 93433 |
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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.