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DR. JACK F. MARTINEZ PSYD
NPI 1679782767
Psychologist - Clinical in Vandenberg Sfb, Lompoc, CA

Active since May 22, 2007
338 SOUTH DAKOTA AVE, VANDENBERG SFB, LOMPOC, CA 93437(805) 606-8217 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 25, 2024, Mar 1, 2022 (2 updates tracked since 2022).

About Dr. Jack F. Martinez Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK F. MARTINEZ PSYD (NPI 1679782767) is an individual clinical provider in Vandenberg Sfb, Lompoc, California, licensed in Maine (PS1043) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1679782767
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JACK F. MARTINEZCredential: PSYD
Location Address338 SOUTH DAKOTA AVEVandenberg Sfb, Lompoc, CA 93437-6307
Mailing Address338 S Dakota AveVandenberg Afb, CA 93437-6307
Phone(805) 606-8217
Sole ProprietorNo
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1679782767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in ME · PS1043
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
338 SOUTH DAKOTA AVE, Vandenberg Sfb, Lompoc, CA 93437
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Other Identifiers 1

Medicaid323090099ME

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Martinez's NPI number?

The NPI number for Jack Martinez is 1679782767. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Jack Martinez located?

Jack Martinez practices at 338 South Dakota Ave, Vandenberg Sfb, Lompoc, CA 93437. The listed phone number is (805) 606-8217.

What is Jack Martinez's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jack Martinez was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.