Chloe A. Martin, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19103 Issued in CA

Practice address

1030 Sir Francis Drake Blvd
Suite 100, Room 1
Kentfield, CA 94904-1411

Phone

(415) 496-9033

NPI assigned

Oct 31, 2016

Last updated

Oct 31, 2016By the provider in NPPES

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

Other names 1

• Chloe Andriveau Drake Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1649722216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 HILLDALE DR",
            "city": "SAN ANSELMO",
            "state": "CA",
            "postal_code": "949602320",
            "telephone_number": "415-464-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 SIR FRANCIS DRAKE BLVD",
            "address_2": "SUITE 100, ROOM 1",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041411",
            "telephone_number": "415-496-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "CHLOE",
        "middle_name": "A.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHLOE",
            "last_name": "DRAKE",
            "middle_name": "ANDRIVEAU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeanette Rhoads Margolin, M.D.
• Marin Sport and Spine Physical Therapy
• Francis C Marino, RRT, RCP
• Carole J Marks, PH.D.
• Stephanie Jillaine Marti, PSYD
• Jeffery R. Martin, PHD
• Jack Warren Maslow, MSW
• Robin Kahn Mayer
• Barbara McCarroll, PH.D.
• Jeanette Meiguez

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.