Dr. June Martin, Marriage and Family Therapist, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LMFT30679 Issued in CA

Legal business name

DR. JUNE MARTIN, MARRIAGE AND FAMILY THERAPIST, INC.

Practice address

215 North San Mateo Drive
Suite #2
San Mateo, CA 94401

Phone

(650) 348-4835

Fax

(650) 712-8883

NPI assigned

May 4, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. June Marie Martin, PH.D., LMFTNPI 1184836330

Title

President

Phone

(650) 348-4835

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• June Marie Martin, PH.D., LMFT

  • Clinical Psychologist
  • San Mateo, CA
  • NPI 1184836330
  NPD (past) Authorized official

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225240211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 PACIFIC AVENUE",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "94019",
            "telephone_number": "650-703-9986",
            "fax_number": "650-712-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 NORTH SAN MATEO DRIVE",
            "address_2": "SUITE #2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94401",
            "telephone_number": "650-348-4835",
            "fax_number": "650-712-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JUNE MARTIN, MARRIAGE AND FAMILY THERAPIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-348-4835",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LMFT30679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.