BLAKE MARTINEZ (NPI# 1891161964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891161964 |
| Entity Type | Individual |
| Full Name | BLAKE MARTINEZ |
| Credential | M.A. |
| Practice Address |
1148 4th St Muskegon MI 49441-1907 |
| Practice Telephone | 2317262299 |
| Mailing Telephone | 2317262299 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301016267 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1148 4TH ST |
| City | MUSKEGON |
| State | MI |
| Zip Code | 49441-1907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570748 | Matthew D Sharpe | Counselor | 1148 4th St, Muskegon, MI 49441-1907 | 2018-09-06 |
| 1447540877 | Tracie Lynn Webb | Counselor | 1148 4th St, Muskegon, MI 49441-1907 | 2011-04-19 |
| 1780814608 | Martha Ann Sanclemente | Psychologist | 1148 4th St, Muskegon, MI 49441-1907 | 2009-07-27 |
| 1982876538 | Debra Lyn Tufts | Psychologist | 1148 4th St, Muskegon, MI 49441-1921 | 2008-03-24 |
| 1376726604 | Margaret Alice Lowe | Psychologist | 1148 4th St, Muskegon, MI 49441-1921 | 2007-12-10 |
| 1437285830 | Harbor Psychological Associates PC | Counselor | 1148 4th St, Muskegon, MI 49441-1921 | 2007-02-27 |
| 1144384413 | Michelle Ann Martin | Psychologist | 1148 4th St, Muskegon, MI 49441-1921 | 2006-12-21 |
| 1407914120 | Stella E Dial | Psychologist | 1148 4th St, Muskegon, MI 49441 | 2006-12-05 |
| 1497821144 | David Joseph Leonard | Psychologist | 1148 4th St, Muskegon, MI 49441 | 2006-11-27 |
| 1487727806 | Shannon Mullally | Psychologist | 1148 4th St, Muskegon, MI 49441-1907 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692494 | Memphis Chardell Sandoval | Nurse Practitioner | 131 S. Seaway Dr., Muskegon, MI 49441 | 2020-09-01 |
| 1598222952 | Kimberlee K Erickson-worpel Ma,llp | Psychologist | 3611 Henry Street, Norton Shores, MI 49441 | 2019-02-21 |
| 1164921011 | Brittany Ann Bayne | Behavior Technician | 640 Seminole, Muskegon, MI 49441 | 2018-02-06 |
| 1497273403 | Rx Optical Laboratories, Inc. | Optometrist | 3445 Henry St, Norton Shores, MI 49441 | 2017-08-30 |
| 1801320072 | Gentle Souls Home Care, LLC | In Home Supportive Care | 2743 Henry Street Pmb #117, Muskegon, MI 49441 | 2017-04-14 |
| 1467814889 | Lyle Karp | Hearing Instrument Specialist | 3145 Henry St., Muskegon, MI 49441 | 2016-03-24 |
| 1649653817 | Jessica Marie Lambert | Dentist | 5978 Harvey St., Muskegon, MI 49441 | 2015-07-06 |
| 1114320595 | Mark Reider | Counselor | 3944 Grand Haven Rd Apt 204c, Norton Shores, MI 49441 | 2014-09-30 |
| 1679826002 | Kathleen M Dole | Social Worker | 800 E Ellis Rd Ste 222, Norton Shores, MI 49441 | 2012-10-23 |
| 1144523119 | Terri Lee Garza | Social Worker | 1095 Third St, Muskegon, MI 49441 | 2010-12-14 |
| Find all providers in zip 49441 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073084349 | Cathy Forrest, Ma, LLP Plc | Psychologist | 255 Seminole Road, Suite-205, Muskegon, MI 49444 | 2018-12-16 |
| 1235357732 | Andrew Henry Lahaie | Psychologist | 173 E Apple Ave, Muskegon, MI 49442-3463 | 2007-04-23 |
| 1801923339 | Bonnie Marie Brown | Psychologist | 1675 E Mt Garfield Rd Ste 135, Muskegon, MI 49444-7732 | 2007-02-28 |
| 1790835890 | Catherine Randell Forrest | Psychologist | 4490 Birchwood Ct, Muskegon, MI 49441-4804 | 2007-01-11 |
| 1053388413 | Donna F Lamar | Psychologist | 1516 Peck St, Muskegon, MI 49441-2128 | 2006-03-03 |
| 1457628331 | Alice Snyder | Psychologist | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2011-11-21 |
| 1568743334 | Daniel R Ellinger | Psychologist | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2011-09-07 |
| 1154619724 | Amie Suzanne Berryhill | Psychologist | 376 E Apple Ave, Muskegon, MI 49442-3466 | 2011-07-18 |
| 1053642660 | Timothy L. Mills | Psychologist | 5353 Grand Haven Rd, Suite B, Muskegon, MI 49441-5985 | 2010-01-21 |
| 1780814608 | Martha Ann Sanclemente | Psychologist | 1148 4th St, Muskegon, MI 49441-1907 | 2009-07-27 |
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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.