MEGAN MARTIN (NPI# 1861868317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861868317 |
| Entity Type | Individual |
| Full Name | MEGAN MARTIN |
| Practice Address |
23701 E East Fork Rd Azusa CA 91702-1477 |
| Practice Telephone | 6262503290 |
| Mailing Telephone | 6262503290 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 167G00000X | Licensed Psychiatric Technician | PT38106 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487251369 | Megan A Martin | Behavioral Analyst | 23713 Bison Street, Mercer, MO 64661 | 2020-10-05 |
| 1346862695 | Megan Shearrer Martin | Pharmacist | 1905 E State Highway 97, Jourdanton, TX 78026-1504 | 2020-05-09 |
| 1639652795 | Megan Martin | Dietitian, Registered | 3301 N Wooster Ave, Dover, OH 44622-9400 | 2018-09-13 |
| 1316432958 | Megan Michelle Martin | Counselor | 5001 Central Park Dr # 100, Lincoln, NE 68504-3461 | 2018-06-26 |
| 1366932139 | Megan Jean Martin | Nurse Practitioner | 2560 Hauser Ross Dr Ste 450, Sycamore, IL 60178-3185 | 2018-05-16 |
| 1386089654 | Megan Martin | Physical Therapy Assistant | 2501 Rice Lake Road, Duluth, MN 55811 | 2013-05-01 |
| 1194075978 | Megan Martin | Pharmacist | 1028 Hawkridge Run, Belleville, IL 62221-3545 | 2012-09-19 |
| 1790047298 | Megan Spokes Martin | Pediatrics | 1414 Cross St, Shiloh, IL 62269-2988 | 2012-06-11 |
| 1750524617 | Megan Blake Martin | Anesthesiology | 140 Prospect Ave Ste 30, Hackensack, NJ 07601-2255 | 2009-04-08 |
| 1497910558 | Megan Lechele Martin | Speech-Language Pathologist | 219 Wildwood Drive, Mountain View, AR 72560-2684 | 2008-07-28 |
| Street Address |
23701 E EAST FORK RD |
| City | AZUSA |
| State | CA |
| Zip Code | 91702-1477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821126939 | Social Model Recovery Systems, Inc. | Community/Behavioral Health | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2007-03-01 |
| 1912518135 | Riley Redman | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2020-08-11 |
| 1548893571 | William Robert Hoffman Jr. | Marriage & Family Therapist | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2020-02-18 |
| 1336787092 | Oriana Gregory | Licensed Psychiatric Technician | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-12-12 |
| 1972149417 | Isabel Rosales | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-11-19 |
| 1538704531 | Devon Edward Lucas | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-11-13 |
| 1518509132 | Steven Stanislas Roseren | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-10-15 |
| 1336780816 | Stephanie Marie Hernandez | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-10-04 |
| 1194382317 | Kristin Wopschall | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-05-22 |
| 1902460868 | Leandro Perez IIi | Case Manager/Care Coordinator | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407345341 | Rosaura Contreras | Nutritionist | 109 West 6th Street, Azusa, CA 91702 | 2018-05-07 |
| 1093224396 | Beatriz Leyva Torres | Nurse Practitioner | 237 S. Vernon Ave, Azusa, CA 91702 | 2017-09-29 |
| 1871949370 | Angela Marie Mckindley | Case Manager/Care Coordinator | 23701 East Fork Rd., Azusa, CA 91702 | 2016-05-13 |
| 1023489846 | Crystal Horton | Case Manager/Care Coordinator | 23701 E Fork Road, Azusa, CA 91702 | 2015-10-20 |
| 1528438272 | Seann Mckay | Case Manager/Care Coordinator | 23701 E Folk Rd, Azusa, CA 91702 | 2015-10-06 |
| 1437528833 | William Clabaugh | Case Manager/Care Coordinator | 830 S. Azusa Ave., 45, Azusa, CA 91702 | 2015-09-16 |
| 1467850693 | Juana Gaeta | Speech-Language Pathologist | 1016 E Ghent St, Azusa, CA 91702 | 2014-12-22 |
| 1649674508 | Colleen Anne Montz | Nurse Practitioner | 901 E. Alosta Ave., Student Health Center, Azusa, CA 91702 | 2014-10-21 |
| 1285061390 | Patrick Ryan Bergeron | Physical Therapist | 900 W Sierra Madre Avenue, #33, Azusa, CA 91702 | 2013-10-03 |
| 1760768972 | Ashley L Wickliffe | Student in an Organized Health Care Education/Training Program | 901 East Alosta Avenue, Azusa, CA 91702 | 2011-11-01 |
| Find all providers in zip 91702 | ||||
| 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 |
|---|---|---|---|---|
| 1336787092 | Oriana Gregory | Licensed Psychiatric Technician | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2019-12-12 |
| 1831673532 | Ngozi Nwobu | Licensed Psychiatric Technician | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2018-09-18 |
| 1346782752 | Laguana Shyne | Licensed Psychiatric Technician | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2016-11-16 |
| 1669823795 | Dora Saldana | Licensed Psychiatric Technician | 474 S Citrus Ave, Azusa, CA 91702-4733 | 2016-06-30 |
| 1255719142 | Loretta Bruinsma | Licensed Psychiatric Technician | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2015-05-11 |
| 1568866143 | Somer Laurlyn Harrison | Licensed Psychiatric Technician | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2014-10-10 |
| 1699901751 | Tracy Jo Lopez | Licensed Psychiatric Technician | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2009-06-03 |
| 1932353109 | Christina Payne | Licensed Psychiatric Technician | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2008-11-13 |
| 1205966488 | Mary B Sharon | Licensed Psychiatric Technician | 23701 E East Fork Rd, Azusa, CA 91702-1477 | 2007-03-06 |
| 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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| 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.