Kathleen Martin, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

36488 Issued in CA

Practice address

3320 Kemper St Ste 104
San Diego, CA 92110-4904

Phone

(619) 758-6220

Fax

(619) 758-6209

NPI assigned

May 17, 2007

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

• Kate Martin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Special Education Services

  • Case Management Agency
  • San Diego, CA
  • NPI 1275669582
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811104680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4792 ALLIED RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921202412",
            "telephone_number": "619-922-4806",
            "fax_number": "619-758-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 KEMPER ST STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921104904",
            "telephone_number": "619-758-6220",
            "fax_number": "619-758-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "KATHLEEN",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "36488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "MARTIN",
            "credential": "MFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joy Anne Martin, PHD
• Joyce Anne Martin, PSYD
• Julie Wong Martin, MD
• June Martin, LCSW
• Kaira Martin
• Leslie Marie Martin, M.D.
• Linda Marie Martin
• Linda Vanessa Martin, RN
• Ma Adelver Quinitio Martin, RN
• Margie Martin, MFT

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 Jul 8, 2007; 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.