Michelle Martin

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

129121 Issued in CA

Practice address

3123 Independence Dr
Livermore, CA 94551-7595

Phone

(925) 999-4119

NPI assigned

Oct 8, 2021

Last updated

Dec 18, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Achievements Unlimited Clinical Psychology Services, Inc.

  dba Achievements Unlimited, Inc/MindDivers

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1972953875
  NPD
• Mindcure, Inc

  • Community/Behavioral Health Agency
  • Clovis, CA
  • NPI 1467993493
  NPD

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1689336422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 N CEDAR AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937106658",
            "telephone_number": "559-556-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3123 INDEPENDENCE DR",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517595",
            "telephone_number": "925-999-4119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Pollasky Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936121159",
            "country_code": "US",
            "telephone_number": "559-203-3775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7575 N Cedar Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202693",
            "country_code": "US",
            "telephone_number": "559-556-4067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "129121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Paz S. David,D.M.D.,Inc. (Downtown Dental Practice of Maria Paz S. David,D.M.D.,Inc.)
• Mark Nakhla DDS Inc.
• Chibuzor Mark-Ekpendu, PHARMD
• Nancy B Marshall, MFT
• Tiffany Marshall
• Stacey Edith Martin, R.N.
• Dana Martinez
• Jessica A Marty
• Tendai Amanda Mashamba
• Melanie Louise Mason, O.D.

• Marriage & Family Therapist in Livermore, CA
• Providers in Livermore, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.