MRS. JACKIE MCCOY-MARTIN (NPI# 1285872663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285872663 |
| Entity Type | Individual |
| Full Name | MRS. JACKIE MCCOY-MARTIN |
| Credential | PHD |
| Practice Address |
2737 W. Cecil Avenue Delano CA 93215 |
| Practice Telephone | 6617212345 |
| Practice Fax Number | 6617216262 |
| Mailing Telephone | 6617212345 |
| Mailing Fax Number | 6617216262 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers |
| Street Address |
2737 W. CECIL AVENUE |
| City | DELANO |
| State | CA |
| Zip Code | 93215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134314800 | Stanley Michael Godges | Dentist | 2737 W. Cecil Avenue, Delano, CA 93216 | 2007-09-06 |
| 1942835756 | Corrections and Rehabilitation | Pharmacy | 2737 W. Cecil Avenue, Delano, CA 93215 | 2020-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427699396 | Clinca Sierra Vista | Clinic/Center | 425 Del Sol Parkway, Delano, CA 93215 | 2019-10-02 |
| 1609367762 | Elizabeth Galaviz Alcaraz | Marriage & Family Therapist | 828 High Street, Suite C, Delano, CA 93215 | 2018-05-24 |
| 1972962819 | Joy Nneka Iwuchukwu | Nurse Practitioner | 1201 Jefferson Street, Delano, CA 93215 | 2016-02-21 |
| 1154715217 | Amalia Sanchez | Counselor | 828 High Street, Suite C, Delano, CA 93215 | 2015-03-26 |
| 1821435520 | Wal-mart Stores, Inc | Technician/Technologist | 530 Woollomes Ave, Delano, CA 93215 | 2013-06-04 |
| 1629356522 | Clinica Sierra Vista | Counselor | 1401 Hiett Ave, Delano, CA 93215 | 2011-07-26 |
| 1235435082 | Jonathan James Yip | Psychologist | 2327 W. Cecil Ave., Delano, CA 93215 | 2011-01-26 |
| 1669782108 | Lydia Reyes | Marriage & Family Therapist | 828 High Street, Ste.c, Delano, CA 93215 | 2010-10-18 |
| 1932341385 | Lydia Soriano Zapanta | Obstetrics & Gynecology | 1619 Cecil Ave, Delano, CA 93215 | 2009-04-01 |
| 1669624714 | Gurvinder Kaur | Pharmacist | 1800 Cecil Ave, Delano, CA 93215 | 2008-10-21 |
| Find all providers in zip 93215 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114473907 | Chisa Johnson | Psychologist | 3000 West Cecil Avenue, Delano, CA 93216 | 2016-08-31 |
| 1972911162 | Jennie Hosey | Psychologist | 2737 West Cecil Avenue, Delano, CA 93215 | 2014-07-31 |
| 1437495314 | Dina Khoury | Psychologist | 3000 West Cecil Avenue, Delano, CA 93216-6000 | 2012-12-20 |
| 1891030615 | California Department of Corrections and Rehabilitation | Psychologist | 3000 West Cecil Avenue, Delano, CA 93216-6000 | 2012-12-05 |
| 1568719789 | Heather Kristeen Stahl | Psychologist | 3000 Cecil Ave, Delano, CA 93215 | 2012-08-07 |
| 1306162235 | Martha Lucia Esquivel | Psychologist | 2737 W. Cecil Ave., Delano, CA 93215 | 2010-04-16 |
| 1669795035 | Megan Rose Holden | Psychologist | 2737 W. Cecil Ave., Delano, CA 93215 | 2010-03-12 |
| 1134442619 | Yamileth Fisher | Psychologist | 2737 W. Cecil Ave., Delano, CA 93215 | 2010-03-11 |
| 1134367519 | Harold Reubin Hearshman Sr. | Psychologist | 2737 W. Cecil Ave., Delano, CA 93315 | 2009-01-23 |
| 1154585107 | Eric Vaughn Roth | Psychologist | 2737 W. Cecil Ave., Delano, CA 93215 | 2008-07-17 |
| Find all providers in DELANO | ||||
Please comment or provide details below to improve the information on MRS. JACKIE MCCOY-MARTIN.
| 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.