MR. PAUL MARTIN (NPI# 1700156171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700156171 |
| Entity Type | Individual |
| Full Name | MR. PAUL MARTIN |
| Credential | LCPC |
| Practice Address |
1414 Main St Melrose Park IL 60160 |
| Mailing Address |
3701 Doty Rd Woodstock IL 60098-7509 |
| Practice Telephone | 7087868527 |
| Mailing Telephone | 8153386600 |
| Mailing Fax Number | 8152065376 |
| Enumeration Date | 2012-01-03 |
| Last Update Date | 2018-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10400 Haligus Rd, Huntley, IL 601429553 | 8153386600 | 8152065376 |
| 3701 Doty Rd, Woodstock, IL 600987509 | 8153386600 | 8152065376 |
| 4201 W Medical Center Dr, Mchenry, IL 600508409 | 8153386600 | 8152065376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245750165 | Paul Douglas Martin | Dentist | 270 Cobb Pkwy S Ste 180, Marietta, GA 30060-6520 | 2017-06-21 |
| 1801019351 | Paul A Martin | Dentist | 277 Church Ave Ste A, Chula Vista, CA 91910-2728 | 2007-04-11 |
| 1548380686 | Paul L. Martin Jr. | Psychologist | 2200 N Ponce De Leon Blvd Ste 3, St Augustine, FL 32084-2650 | 2007-03-30 |
| 1437245107 | Paul Timothy Martin | Chiropractor | 9040 Millbranch Rd, Southaven, MS 38671-1420 | 2006-10-04 |
| 1124006275 | Paul B Martin | Internal Medicine | 206 W 79th St, Apt 3r, New York, NY 10024-6235 | 2006-01-08 |
| 1841292018 | Paul A Martin | Family Medicine | 77 E Woodbury Dr, Suite 110, Dayton, OH 45415-2855 | 2005-06-01 |
| 1659843126 | Paul Martin | Social Worker | 2139 Adam Clayton Powell Jr Blvd, New York, NY 10027-3719 | 2018-12-21 |
| 1659843431 | Paul Michael Martin | Counselor | 14600 Nw Cornell Rd, Portland, OR 97229-5442 | 2018-12-18 |
| 1639656598 | Paul Andrew Martin | Counselor | 5808 Balcones Dr Ste 201, Austin, TX 78731-4215 | 2018-07-24 |
| 1801393525 | Paul J Martin | Student in an Organized Health Care Education/Training Program | 2001 W 86th St, Indianapolis, IN 46260-1902 | 2018-04-09 |
| Street Address |
1414 MAIN ST |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997193 | Anjali Dinesh Nair | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-09-21 |
| 1821603671 | Kehinde O Oyinloye | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-09-09 |
| 1093320814 | Shaquita Ramey | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-09-09 |
| 1821602723 | Yenisis Delossantos | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-09-08 |
| 1548871379 | Evelyn Darlene Simmons | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-08-14 |
| 1730707050 | Dianne E Lozano | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-07-13 |
| 1346867744 | Luz Luna | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-07-01 |
| 1396362166 | Felix Gatica | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-06-28 |
| 1992320485 | Mayra Diaz | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-06-10 |
| 1982243283 | Asmat Khan | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1467649004 | Megan Reddy | Counselor | 675 W North Ave Ste 306, Melrose Park, IL 60160-1623 | 2007-09-27 |
| 1649489360 | Victoria Diane D'angelo Sr. | Counselor | 900 Valley Rd, Unit A201, Melrose Park, PA 19027-3228 | 2007-05-21 |
| 1205995297 | Susan Georgia Burke | Counselor | 1414 Main St., Melrose Park, IL 60160-3902 | 2006-12-06 |
| 1750997193 | Anjali Dinesh Nair | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-09-21 |
| 1821603671 | Kehinde O Oyinloye | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-09-09 |
| 1093320814 | Shaquita Ramey | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-09-09 |
| 1821602723 | Yenisis Delossantos | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-09-08 |
| 1548871379 | Evelyn Darlene Simmons | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-08-14 |
| 1730707050 | Dianne E Lozano | Counselor | 1414 Main St, Melrose Park, IL 60160-3902 | 2020-07-13 |
| Find all providers in MELROSE PARK | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
Please comment or provide details below to improve the information on MR. PAUL 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.