MRS. SUSAN KATHLEEN MARTIN (NPI# 1538322144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538322144 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN KATHLEEN MARTIN |
| Credential | MFTI |
| Practice Address |
2510 N California St Stockton CA 95204-5502 |
| Practice Telephone | 2094612027 |
| Mailing Telephone | 2094612027 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 49319 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295397529 | Susan Martin | Counselor | 245 Farm Trak, Roswell, GA 30075-4218 | 2019-07-08 |
| 1851856827 | Susan B Martin | Registered Nurse | 8030 Resurrection Dr, Anchorage, AK 99504-4731 | 2019-02-04 |
| 1669846572 | Susan Denise Martin | Counselor | 160 Saratoga Ave Ste 290, Santa Clara, CA 95051-7334 | 2015-11-17 |
| 1992075758 | Susan Marie Martin | Occupational Therapy Assistant | 209 Joseph Ct, #5, Neenah, WI 54956-6415 | 2012-01-10 |
| 1932480308 | Susan Martin | Pharmacist | 6838 N Loron Ave, Chicago, IL 60646-1414 | 2011-08-30 |
| 1124344668 | Susan Martin | Registered Nurse | 518 Morris St, Ogdensburg, NY 13669-2730 | 2010-04-08 |
| 1124261102 | Susan Lynn Martin | Counselor | 2277 Swanson Ave., Suite B, Lake Havasu City, AZ 86403 | 2009-04-07 |
| 1508998980 | Susan Jill Martin | Pharmacist | 200 Hoff Rd Unit B, Westerville, OH 43082-7154 | 2007-03-12 |
| 1154453637 | Susan Carol Martin | Marriage & Family Therapist | 2130 50th Ave, Oakland, CA 94601-5435 | 2007-03-11 |
| 1184791618 | Susan M Martin | Family Medicine | 3434 W State Road 66, Rockport, IN 47635-9259 | 2006-11-29 |
| Street Address |
2510 N CALIFORNIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053443473 | Port City Operating Company, LLC | Psychiatric Hospital | 2510 N California St, Stockton, CA 95204-5502 | 2007-03-12 |
| 1053965202 | Dionetta Christine Mallory | Social Worker | 2510 N California St, Stockton, CA 95204-5502 | 2019-07-26 |
| 1487018610 | Michael C Bello | Social Worker | 2510 N California St, Stockton, CA 95204-5502 | 2016-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| 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 |
|---|---|---|---|---|
| 1528532991 | Stephen Elias | Marriage & Family Therapist | 1414 N California St Ste 2, Stockton, CA 95202-1515 | 2019-01-18 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1083117188 | Ryan Rix | Marriage & Family Therapist | 510 E Magnolia St Ste 100, Stockton, CA 95202-1850 | 2018-03-14 |
| 1821538273 | Lisa Marie Richardson | Marriage & Family Therapist | 2852 Elmwood Ave Apt 9, Stockton, CA 95204-3949 | 2017-03-05 |
| 1750837985 | Alexsandra Trejo | Marriage & Family Therapist | 6707 Embarcadero Drive, Stockton, CA 95219 | 2016-08-28 |
| 1992179352 | Frank Garcia | Marriage & Family Therapist | 5302 Harvest Gold Dr, Stockton, CA 95219-2432 | 2015-11-23 |
| 1144696840 | Wilhelmina Marie Parsons | Marriage & Family Therapist | 1212 California Street, Stockton, CA 95202 | 2015-08-17 |
| 1962887554 | Gurmeet Singh | Marriage & Family Therapist | 4635 Georgetown Pl Ste A, Stockton, CA 95207-6203 | 2015-07-23 |
| 1598148165 | Roberta Ann Novo | Marriage & Family Therapist | 4750 Quail Lakes Drive, Suite C-2, Stockton, CA 95207 | 2015-07-01 |
| 1316328792 | San Juana Melgoza | Marriage & Family Therapist | 306 E Main St Ste 300, Stockton, CA 95202-2908 | 2015-06-11 |
| Find all providers in STOCKTON | ||||
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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.