SHELLEY MARTIN (NPI# 1457677395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457677395 |
Entity Type | Individual |
Full Name | SHELLEY MARTIN |
Credential | LMFT |
Practice Address |
7471 Rudell Rd Corona CA 92881-4278 |
Practice Telephone | 9519004414 |
Mailing Telephone | 9519004414 |
Mailing Fax Number | 9518800817 |
Enumeration Date | 2010-04-16 |
Last Update Date | 2018-05-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 106H00000X | Marriage & Family Therapist | 105626 | CA | Behavioral Health & Social Service Providers |
N | 106H00000X | Marriage & Family Therapist | IMF79572 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134244015 | Shelley Marie Martin | Case Manager/Care Coordinator | 1596 Highway 33 South, New Tazewell, TN 37825 | 2007-03-20 |
1871670968 | Shelley L Martin | Chiropractor | 2855 Lawrenceville Suwanee Rd, Suite 760-318, Suwanee, GA 30024-3563 | 2006-11-01 |
1659464246 | Shelley L Martin | Physician Assistant | 7700 Fish Pond Rd, Waco, TX 76710-1031 | 2006-10-02 |
1427079177 | Shelley Martin | Pediatrics | 7373 Perkins Rd, Baton Rouge, LA 70808-4326 | 2006-07-21 |
1770572539 | Shelley Martin | Nurse Anesthetist, Certified Registered | 17207 Kuykendahl Rd, Suite 200, Spring, TX 77379-8423 | 2005-10-14 |
Street Address |
7471 RUDELL RD |
City | CORONA |
State | CA |
Zip Code | 92881-4278 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487752838 | Catherine A Musick-vinyard | Social Worker | 7471 Rudell Rd, Corona, CA 92881-4278 | 2006-09-20 |
1649828732 | Jian Tan | Counselor | 7471 Rudell Rd, Corona, CA 92881-4278 | 2019-08-31 |
1235787821 | Encouragers Family Counseling, Inc. | Counselor | 7471 Rudell Rd, Corona, CA 92881-4278 | 2019-08-28 |
1942777354 | Mylan Zonica Allen | Counselor | 7471 Rudell Rd, Corona, CA 92881 | 2018-10-24 |
1225578206 | Debra Burianek | Marriage & Family Therapist | 7471 Rudell Rd, Corona, CA 92881-4278 | 2017-02-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
1861034944 | Jongguon Kim Dds Dental Corporation | Clinic/Center | 1973 Foothill Parkway, Suite 102, Corona, CA 92881 | 2019-10-10 |
1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
Find all providers in zip 92881 |
Taxonomy Code | 106H00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Marriage & Family Therapist |
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679121842 | Israel Gonzalez Cruz | Marriage & Family Therapist | 10324 Corona Ave, Corona, NY 11368-3177 | 2019-08-30 |
1629559802 | Skt Therapy Inc | Marriage & Family Therapist | 765 N Main St Ste 152, Corona, CA 92880 | 2018-08-24 |
1427551498 | Maria Del Carmen Adams | Marriage & Family Therapist | 355 E Rincon St Ste 211, Corona, CA 92879-1370 | 2018-03-15 |
1265974992 | Teresa Arciero | Marriage & Family Therapist | 2545 Quiet Meadow Cir, Corona, CA 92881-6610 | 2016-11-11 |
1669802922 | Megan Mary Pedroza | Marriage & Family Therapist | 2800 Keystone Cir, Corona, CA 92882-5989 | 2013-11-22 |
1366872889 | Stefanie Marie Bolio | Marriage & Family Therapist | 1451 Rimpau Ave Ste 212, Corona, CA 92879-7522 | 2013-11-19 |
1225465347 | Gina G Cross | Marriage & Family Therapist | 1185 Millbrook Rd, Corona, CA 92882-5851 | 2013-10-03 |
1376881706 | Noelle Angela Wingate | Marriage & Family Therapist | 1451 Rimpau Ave Ste 209, Corona, CA 92879-7522 | 2013-01-18 |
1376822999 | Stacie F Jablon | Marriage & Family Therapist | 2909 Griffin Cir, Corona, CA 92879-6100 | 2011-08-13 |
1528347648 | Shrinidhi S Iyengar | Marriage & Family Therapist | 3352 Deaver Dr, Corona, CA 92882-8900 | 2011-08-07 |
Find all providers in CORONA |
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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.