SHERRY MARIE MARTYN (NPI# 1154675023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154675023 |
| Entity Type | Individual |
| Full Name | SHERRY MARIE MARTYN |
| Credential | PH.D. |
| Practice Address |
1242 3rd Street Promenade Ste 208 Santa Monica CA 90401 |
| Mailing Address |
5627 Kanan Rd # 289 Agoura CA 91301-3358 |
| Practice Telephone | 4242143150 |
| Mailing Telephone | 3105628360 |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2018-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
30117 | CA | Behavioral Health & Social Service Providers |
| Street Address |
1242 3RD STREET PROMENADE STE 208 |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013499458 | Franchesca Johnson Gordon | Marriage & Family Therapist | 900 Wilshire Blvd., Ste. 450, Santa Monica, CA 90401 | 2018-09-01 |
| 1629564083 | Michelle Jillian Dolinsky | Social Worker | 1243 7th St Ste C, Santa Monica, CA 90401 | 2018-07-09 |
| 1528507084 | Doctor Tlc, License Clinical Psychologist, Inc. | Community/Behavioral Health | 1242 Third St Promenade, Suite 208, Santa Monica, CA 90401 | 2017-02-16 |
| 1285006023 | Venessa Leeann Roca | Speech-Language Pathologist | 1218 6th Street, Santa Monica, CA 90401 | 2015-10-20 |
| 1720468036 | Stephen J. Kenneally | Marriage & Family Therapist | 610 Santa Monica Bvd, Ste. 201, Santa Monica, CA 90401 | 2015-06-02 |
| 1629458070 | Dominique L Robertson | Marriage & Family Therapist | 530 Wilshire, #310, Santa Monica, CA 90401 | 2015-06-01 |
| 1205252673 | Santa Monica Sports Medicine Inc. | Physical Medicine & Rehabilitation | 900 Wilshire Blvd. #410, Santa Monica, CA 90401 | 2014-03-10 |
| 1700159829 | Gary Warburton | Dentist | 519 Arizona Ave., Santa Monica, CA 90401 | 2012-02-21 |
| 1265713036 | Aleksandr Mailyan | Reflexologist | 201 Wilshire Blvd #101, Santa Monica, CA 90401 | 2011-09-07 |
| 1295014603 | Richard James Rauth | Dentist | 1234 Seventh Street, Suite 3, Santa Monica, CA 90401 | 2011-08-16 |
| Find all providers in zip 90401 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053878181 | Kathryn Eva Sparks | Psychologist | 344 E Rustic Rd, Santa Monica, CA 90402-1145 | 2019-02-25 |
| 1255833596 | June Henderson Mayes | Psychologist | 2444 Wilshire Blvd Ste 400, Santa Monica, CA 90403-5810 | 2018-03-02 |
| 1518475946 | Philip Sayegh | Psychologist | 3301 Ocean Park Blvd Ste 203, Santa Monica, CA 90405-3230 | 2018-01-19 |
| 1881123917 | Brenda Heidrich | Psychologist | 270, 26 Th Street, Suite 202, Santa Monica, CA 90402 | 2017-06-12 |
| 1851838726 | John Watkins | Psychologist | 429 Santa Monica Blvd Ste 200, Santa Monica, CA 90401-3408 | 2017-01-30 |
| 1487198503 | Cathy Quinn | Psychologist | 1137 Second St., #204, Santa Monica, CA 90403-5092 | 2016-12-08 |
| 1639500234 | Alexandra Emmons | Psychologist | 2730 Wilshire Blvd Ste 600-1, Santa Monica, CA 90403-4743 | 2013-12-06 |
| 1558708404 | Nicholas W Techentin | Psychologist | 715 23rd St, Santa Monica, CA 90402-3131 | 2013-06-02 |
| 1043588775 | Timothy Kenji Wong | Psychologist | 3301 Ocean Park Blvd Ste 210, Santa Monica, CA 90405-3230 | 2011-12-08 |
| 1396024261 | Kimberly Anne Hepner | Psychologist | 1776 Main St, Santa Monica, CA 90401-3208 | 2011-08-10 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90401 |
Please comment or provide details below to improve the information on SHERRY MARIE MARTYN.
| 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.