Active NPI
Rebecca A Martin, PSYD
- Psychologist
- Coalinga, CA
National Provider Identifier
1548627995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 27595
- Practice address
- 24511 W Jayne Ave
Coalinga, CA 93210-9503 - Phone
- (559) 577-5801
- NPI assigned
- Jan 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 27595 | CA | Primary |
| Forensic Psychologist | 103TF0200X | PSY27595 | CA |
Addresses
Primary practice location
24511 W Jayne Ave
Coalinga, CA 93210-9503
Mailing address
24511 W Jayne Ave
Coalinga, CA 93210-9503
Phone (559) 577-5801
Other practice location 1
1616 W Shaw Ave Ste B4
Fresno, CA 93711-3513
Phone (559) 293-3174
Other practice location 2
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (800) 516-0975
Other practice location 3
330 N Brand Blvd Ste 700
Glendale, CA 91203-2336
Phone (800) 516-0975
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27595 | CA | MD | Forensic Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WK Medical Group | Past | Accepting new patients | |
| Roots Psychiatric Services PC | Past | Accepting new patients | |
| LGTC Group | Psychologist | Past | Accepting new patients |
| Los Gatos Therapy Center | Past | Accepting new patients | |
| LGTC Inc | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Registered Dietitian
- San Jose, CA
- NPI 1710749494
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1518600972
-
- Adolescent and Children Mental Health Clinic/Center
- Glendale, CA
- NPI 1457016560
-
- Psychiatry Physician
- San Jose, CA
- NPI 1588083992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1548627995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24511 W JAYNE AVE",
"city": "COALINGA",
"state": "CA",
"postal_code": "932109503",
"telephone_number": "559-577-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24511 W JAYNE AVE",
"city": "COALINGA",
"state": "CA",
"postal_code": "932109503",
"telephone_number": "559-577-5801"
}
],
"practiceLocations": [
{
"address_1": "1616 W Shaw Ave Ste B4",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937113513",
"country_code": "US",
"telephone_number": "559-293-3174",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 Welch Rd",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943041601",
"country_code": "US",
"telephone_number": "800-516-0975",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "330 N Brand Blvd Ste 700",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "CA",
"postal_code": "912032336",
"country_code": "US",
"telephone_number": "800-516-0975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTIN",
"first_name": "REBECCA",
"middle_name": "A",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-15",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "27595",
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY27595",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coalinga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.