Martha Poling Chan, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 7225 Issued in CA

Practice address

467 Hamilton Avenue
Suite 2
Palo Alto, CA 94301

Phone

(650) 321-5179

Fax

(650) 493-1941

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093808644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "467 HAMILTON AVENUE",
            "address_2": "SUITE 2",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94301",
            "telephone_number": "650-321-5179",
            "fax_number": "650-493-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "467 HAMILTON AVENUE",
            "address_2": "SUITE 2",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94301",
            "telephone_number": "650-321-5179",
            "fax_number": "650-493-1941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "MARTHA",
        "middle_name": "POLING",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 7225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Chan, MD
• Jay Chan, DO
• Joshua Chan
• Leslie Nicole Chan, MD
• Lik Hang Tommy Chan
• Nancy Chan, P.T.
• Neilson Chan, PHD
• Pamela Victoria Chan, PA-C
• PO Ling Chan, MBCHB
• Shannon Chan, MD

• Marriage & Family Therapist in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.