Catherine M Keen

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

36259 Issued in CA

Practice address

525 16TH St
San Miguel, CA 93451

Phone

(805) 710-9849

NPI assigned

Apr 10, 2012

Last updated

Jun 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Catherine M Martinez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528675200000",
    "number": "1659637064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "914 N CANAL ST",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205110",
            "telephone_number": "575-885-4836",
            "fax_number": "575-628-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 16TH ST",
            "city": "SAN MIGUEL",
            "state": "CA",
            "postal_code": "93451",
            "telephone_number": "805-710-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2018-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "36259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "MARTINEZ",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Khrishna Aguilar
• Community Health Centers of the Central Coast Inc
• Kimberly Ann Fabbri, MFT
• Terry Gore
• San Miguel Joint Union School District
• Felix Toribio Jr., MA, BCBA

• Licensed Psychiatric Technician in San Miguel, CA
• Providers in San Miguel, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2018; 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.