Doc Martin Psychological Services, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

DOC MARTIN PSYCHOLOGICAL SERVICES, INC.

Practice address

1317 Del Norte Rd Ste 200
Camarillo, CA 93010-8368

Phone

(805) 775-6506

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Martin, PSY.D.NPI 1134982770

Title

Owner

Phone

(805) 775-6506

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Martin, PSY.D.

  • Clinical Psychologist
  • Camarillo, CA
  • NPI 1134982770
  NPD Authorized official

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1194582544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E PLEASANT VALLEY RD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 DEL NORTE RD STE 200",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930108368",
            "telephone_number": "805-775-6506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Wilshire Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904032337",
            "country_code": "US",
            "telephone_number": "805-775-6506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOC MARTIN PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-03",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-775-6506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darla E Dixon, PSYD
• Neal P. Dixon, MD
• DLR Psychological Services, Inc.
• Hung Vu DO, MD
• Jennifer Elaine Dobes
• Elaine Hernandez Doctor
• Stormi Dodd
• Lori M. Dodson
• Sharon Louise Dolezal, PHD
• Julia Anne Domenech

• Clinical Psychologist in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.