JENNIE MARTIN PSYD
NPI 1972911162
Psychologist - Clinical in San Luis Obispo, CA

Q: What is Jennie Martin's NPI number?

The NPI number for Jennie Martin is 1972911162. It was assigned to this individual provider in the NPPES registry on July 31, 2014.

Q: What is Jennie Martin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennie Martin was last updated on March 23, 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.

Active since July 31, 2014

COLONY DR, SAN LUIS OBISPO, CA 93409(805) 547-7900 Get Directions Write a Review

NPPES record last updated: March 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennie Martin Psyd NPPES

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

JENNIE MARTIN PSYD (NPI 1972911162) is an individual clinical provider in San Luis Obispo, California, licensed in California (PSY27763) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1972911162

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJENNIE MARTINCredential: PSYD

Location AddressCOLONY DRSan Luis Obispo, CA 93409-0001

Mailing AddressPo Box 8101San Luis Obispo, CA 93409-8101 · (805) 547-7900

Phone(805) 547-7900

Sole ProprietorNo

Enumeration DateJuly 31, 2014

Last NPPES UpdateMarch 23, 2024

NPPES CertifiedMarch 23, 2024

✔ NPI 1972911162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY27763

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.

Also ListedPsychologist · ForensicTaxonomy 103TF0200X · License PSY27763 (CA)

COLONY DR, San Luis Obispo, CA 93409

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DANIEL MARK AGIR WRIGHT JR.

Student in an Organized Health Care Education/Training Program