Marie Angelique Martin, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT35097 Issued in CA

Practice address

4121 Paseo Montanas
San Diego, CA 92130-2108

Phone

(858) 794-4624

NPI assigned

Oct 14, 2011

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": "1318550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318550400000",
    "number": "1174808786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 PASEO MONTANAS",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 PASEO MONTANAS",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302108",
            "telephone_number": "858-794-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MARIE",
        "middle_name": "ANGELIQUE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT35097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Marie Martin, M.D.
• Linda Marie Martin
• Linda Vanessa Martin, RN
• Ma Adelver Quinitio Martin, RN
• Margie Martin, MFT
• Mario Oswaldo Martin, IDC
• Melissa Martin, LEP
• Mersadies R Martin, M.D.
• Michael C. Martin, M.D.
• Michael Charles Martin, M.D.

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Oct 14, 2011; 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.