Marty Ann Potkin, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

40041 Issued in CA

Practice address

2715 Porter St
Ste. #205
Soquel, CA 95073-2458

Phone

(831) 345-4885

NPI assigned

Feb 13, 2007

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

• Ms. Martha Ann Odou-Potkin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1831231901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 PORTER ST",
            "address_2": "STE. #205",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732458",
            "telephone_number": "831-345-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 PORTER ST",
            "address_2": "STE. #205",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732458",
            "telephone_number": "831-345-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTKIN",
        "first_name": "MARTY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "40041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTHA",
            "last_name": "ODOU-POTKIN",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sally Pesco, AUD
• Emily Anne Pillari
• Points for Wellness
• Aimee Pomerleau, MA, MFT
• J Talismau Pomeroy
• Robert Charles Potts Jr., M.D.
• Danielle Erika Prauss, L.AC.
• Lachael Prouty
• Patrick Joseph Purcell, LMFT
• Margaret E Putnam-Pite, LCSW

• Marriage & Family Therapist in Soquel, CA
• Providers in Soquel, 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 Apr 12, 2010; 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.