Look up the most recent NPI and PECOS records

Kimberly Martin

Psychologist

Behavioral Health & Social Service Providers

1317 Del Norte Rd Ste 200, Camarillo, CA 93010-8368

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly Martin does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1134982770
Provider Type
Individual
Full Name
Martin, Kimberly
Credential
PSY.D.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/6/2024
Last Updated
2/6/2024

Contact Information

Practice Location

1317 Del Norte Rd Ste 200, Camarillo, CA 93010-8368

(805) 813-1659

Unlisted Fax

Mailing Location

210 E Pleasant Valley Rd, Port Hueneme, CA 93041-2745

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 103TC0700X Primary	Description Psychologist Behavioral Health & Social Service Providers	License PSY34834 California
Code 103TA0400X	Description Psychologist Behavioral Health & Social Service Providers	License PSY34834 California
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License 176124V California

Kimberly Martin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Bennett, Tracy S

Hamilton, Katherine Louise

Johnstone, Stacy Hall

Modell, Eugene Albert

Pomilla, Danielle

Katherine Hamilton, Ph.D., A California Psychology Corporation

Allen, Charles Perry

Vericare Of California Medical Group

Fitch, Stephen M.

Morris Jensen, Barbara A