KELLY MARTINCIN


Address: 10701 East Blvd # 116w, Cleveland, OH 44106-1702
Phone: 4192710777

KELLY MARTINCIN (NPI# 1700304201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700304201
Entity Type Individual
Full Name KELLY MARTINCIN
Credential PHD
Practice Address 10701 East Blvd # 116w
Cleveland
OH 44106-1702
Mailing Address Louis Stokes Cleveland Vamc
10701 East Blvd, 116w
Cleveland
OH 44106
Practice Telephone 4192710777
Enumeration Date 2017-09-05
Last Update Date 2017-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 07596 OH Behavioral Health & Social Service Providers

Office Location

Street Address 10701 EAST BLVD # 116W
City CLEVELAND
State OH
Zip Code 44106-1702

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NPI Name Taxonomy Address Enumeration
1295347706 Adeeb Oweidat Anesthesiology 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 2020-08-18
1104434240 Bradly Miner Student in an Organized Health Care Education/Training Program Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 2020-07-15
1306466974 Ho Jun Lee Student in an Organized Health Care Education/Training Program 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 2020-04-23
1528687837 Shaleeka Cornelius Student in an Organized Health Care Education/Training Program 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 2020-04-16
1598393175 Mikdat Ulas Student in an Organized Health Care Education/Training Program 111000 Euclid Avenue, Cleveland, OH 44106 2020-03-30
1790335651 Michelle Clark Home Health Aide 1794 E 87th St, Cleveland, OH 44106 2019-09-12
1881246783 Oziel Valdez Sanchez Student in an Organized Health Care Education/Training Program 11900 Euclid Ave, Cleveland, OH 44106 2019-07-10
1487216842 Betina Griens Porto Dentist 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 2019-07-05
1407417140 Rebecca Petts Dentist 9601 Chester Ave, Cleveland, OH 44106 2019-06-24
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Notes: Source: American Psychological Association [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164085106 Cherish Marie Brooks Psychologist 1103 Crescent Blvd, Cleveland, TX 77327-5214 2019-04-16
1336600253 Asian Services In Action Inc Psychologist 2999 Payne Ave Ste 140, Cleveland, OH 44114-4436 2019-03-26
1760962401 Brent Lamar Holt Psychologist 6701 Madison Ave, Cleveland, OH 44102-4035 2018-08-21
1306364856 Darcy Mandell Psychologist 9500 Euclid Ave # C-21, Cleveland, OH 44195-0001 2017-09-05
1871952051 Robert Denton Psychologist 14100 Cedar Rd Ste 100, Cleveland, OH 44121-3234 2016-02-17
1093116501 Megan Shiles Psychologist 2675 East 30th St., Cleveland, OH 44115 2014-09-16
1386045193 Nicholas P Gallo Psychologist 2675 East 30th Street, Nerc, Cleveland, OH 44115-4115 2014-09-11
1861837999 Marilyn Janisse Mercado Giusti Psychologist 2712 Villa Dr Nw, Apt B, Cleveland, TN 37312-1958 2013-05-02
1083986186 Linder G Howze Psychologist 1501 Ferris Dr, Cleveland, MS 38732-2943 2012-02-04
1730464553 Kristi Beth Osterling Psychologist 20800 Westgate Mall Ste 200, Cleveland, OH 44126-1318 2011-10-12
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Competitor

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City CLEVELAND
Zip Code 44106

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Dataset Information

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.

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