AMANDA R MARTINEZ (NPI# 1740553593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740553593 |
| Entity Type | Individual |
| Full Name | AMANDA R MARTINEZ |
| Credential | CPSW |
| Practice Address |
1615 Ojo Court Farmington NM 87401 |
| Mailing Address |
Po Box 5190 Farmington NM 87499-5190 |
| Practice Telephone | 5055644804 |
| Practice Fax Number | 5055644857 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
120815521 | NM | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | DRIVERS LICENSE NUMBER | 120815521 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407400781 | Amanda Renee Martinez | Specialist/Technologist | 106 Espada Dr, San Marcos, TX 78666-6884 | 2019-07-25 |
| 1841856036 | Amanda Martinez | Licensed Vocational Nurse | 5738 Patridge Dr, Pearland, TX 77584-8326 | 2019-05-14 |
| 1194388900 | Amanda Ray Martinez | Behavior Technician | 497 W 225 N, Clearfield, UT 84015-5921 | 2019-04-17 |
| 1649758574 | Amanda Martinez | Occupational Therapy Assistant | 1414 Sw 89th St Ste A, Oklahoma City, OK 73159-6312 | 2018-08-02 |
| 1194234732 | Amanda Renee Martinez | Behavioral Analyst | 4001 11th St, Riverside, CA 92501-3501 | 2017-09-27 |
| 1144747676 | Amanda Shaye Martinez | Counselor | 103 D St., Marysville, CA 95901 | 2017-08-25 |
| 1497114037 | Amanda Martinez | Licensed Practical Nurse | 125 Minnesota St, Rochester, NY 14608 | 2016-02-10 |
| 1588040034 | Amanda Martinez | Case Manager/Care Coordinator | 184 Unser Boulvard Ne, Rio Rancho, NM 87124 | 2015-08-07 |
| 1760512784 | Amanda Susanne Martinez | Speech-Language Pathologist | 2020 San Patricio Loop, Las Cruces, NM 88011-4203 | 2007-03-07 |
| 1922605484 | Amanda Martinez | Physical Therapist | 1550 S Potomac St, Aurora, CO 80012-5455 | 2020-10-07 |
| Street Address |
1615 OJO COURT |
| City | FARMINGTON |
| State | NM |
| Zip Code | 87401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255348520 | Kristine Leigh Carlson | Social Worker | 1615 Ojo Court, Farmington, NM 87401-5638 | 2006-08-01 |
| 1215542907 | Leroy Louis Johnson | Social Worker | 1615 Ojo Court, Farmington, NM 87401 | 2020-09-10 |
| 1922651942 | Quoila Charley, Csw | Case Manager/Care Coordinator | 1615 Ojo Court, Farmington, NM 87401 | 2019-07-18 |
| 1487122537 | Zackary Poyer | Case Manager/Care Coordinator | 1615 Ojo Court, Farmington, NM 87401 | 2018-11-07 |
| 1447768924 | Martha Sanchez | Counselor | 1615 Ojo Court, Totah Behavioral Hea;th Authority, Farmington, NM 87401 | 2018-01-18 |
| 1942758461 | Kimberly Ann Haynie | Counselor | 1615 Ojo Court, Farmington, NM 87401 | 2016-09-13 |
| 1235500604 | Uriah Simpson | Counselor | 1615 Ojo Court, Farmington, NM 87401-0001 | 2015-10-12 |
| 1740659804 | Totah Behavioral Health Authority | Case Management | 1615 Ojo Court, Farmington, NM 87401 | 2015-09-18 |
| 1407224124 | Karen Chenault | Counselor | 1615 Ojo Court, Farmington, NM 87401 | 2015-09-11 |
| 1831588771 | Maria Bundy | Counselor | 1615 Ojo Court, Farmington, NM 87499 | 2015-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035192 | Jaylene Miller | Behavior Technician | 912 Fairgrounds Rd. Trl 36, Farmington, NM 87401 | 2020-08-28 |
| 1255940326 | John Andrew Martinez | Behavioral Analyst | 211 N Auburn, Farmington, NM 87401 | 2020-07-24 |
| 1598304990 | Chasitity Beulah Nez | Behavior Technician | 37 Rd 7101 #127, Farmington, NM 87401 | 2020-01-02 |
| 1205478575 | Micah Magee | Speech-Language Pathologist | Farmington High School, 2200 N. Sunset Ave, Farmington, NM 87401 | 2019-10-08 |
| 1831659754 | Lelilah Todacheene | Social Worker | 1204 Camina Real, Farmington, NM 87401 | 2019-03-25 |
| 1306323555 | Litany of Life | Counselor | 1010 Ridgeway Place, Farmington, NM 87401 | 2018-07-20 |
| 1093291213 | Brittany Bigham | Nurse Practitioner | 1001 W Broadway Ste E, Farmington, NM 87401 | 2018-07-11 |
| 1528556305 | Hairoun Home Health | Home Health | 1200 East 20th Street, Farmington, NM 87401 | 2018-04-26 |
| 1003338732 | Silver Tongue Speech & Voice, LLC | Clinic/Center | 3001 Northridge Dr Ste C, Farmington, NM 87401 | 2017-07-14 |
| 1902256621 | Capacity Builders Inc | Taxi | 418 W Broadway, Farmington, NM 87401 | 2016-06-14 |
| Find all providers in zip 87401 | ||||
| Taxonomy Code | 103TA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326420951 | Juan Mendoza | Psychologist | 715 E. Idaho, Las Cruces, NM 88007 | 2015-06-19 |
| 1265698880 | Recovery Physician Group of California, LLC | Psychologist | 551 W Cordova Rd Ste 818, Santa Fe, NM 87505-1825 | 2008-08-04 |
| 1720201759 | Stephen J Schoen | Psychologist | 1879 El Segundo Trl, Las Cruces, NM 88011-4033 | 2007-04-10 |
| 1043378771 | Nancy Handmaker | Psychologist | 3949 Corrales Road, Suite 240, Corrales, NM 87048 | 2006-12-05 |
| 1881207496 | Kevin Ryan Puckett I | Psychologist | 1528 Five Points Rd Sw, Albuquerque, NM 87105-3179 | 2020-08-25 |
| 1518485812 | Windsong Counseling & Consultation, LLC | Psychologist | 9426 Indian School Rd Ne Ste 1, Albuquerque, NM 87112-2887 | 2017-09-07 |
| 1558762245 | Sage Addiction Treatment Services | Psychologist | 2929 Coors Blvd Nw Ste 100d, Albuquerque, NM 87120-1272 | 2014-09-12 |
| 1588003123 | Maria Inez Bagwell | Psychologist | 100 W. Griggs Ave, Las Cruces, NM 88001 | 2013-06-17 |
| 1437346566 | Thomas Paul Dominguez | Psychologist | 625 Truman St Ne, Albuquerque, NM 87110-6443 | 2007-10-02 |
| 1578632741 | Anne Rose | Psychologist | 11005 Spain Rd Ne, Albuquerque, NM 87111-1899 | 2006-11-06 |
| Find all providers with the same taxonomy | ||||
| City | FARMINGTON |
| Zip Code | 87401 |
Please comment or provide details below to improve the information on AMANDA R MARTINEZ.
| 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.