Active NPI
Melissa Martin, LEP
- Psychologist
- San Diego, CA
National Provider Identifier
1346781515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4607
- Practice address
- 395 11TH Ave
Suite 600
San Diego, CA 92101-7416 - Phone
- (619) 546-0000
- NPI assigned
- Mar 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4607 | CA | Primary |
Addresses
Primary practice location
395 11TH Ave
Suite 600
San Diego, CA 92101-7416
Mailing address
7850 Inception Way
San Diego, CA 92108-5122
Phone (619) 920-1225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4607 | CA | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1346781515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7850 INCEPTION WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921085122",
"telephone_number": "619-920-1225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 11TH AVE",
"address_2": "SUITE 600",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921017416",
"telephone_number": "619-546-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "MELISSA",
"credential": "LEP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-20",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "4607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.