Dr Kelsie Jade Tatum Martinez, PSYD is a
Psychologist - Clinical based in Sacramento, California. Dr Kelsie Jade Tatum Martinez is licensed to practice in California (license number PSY25975) and her current practice location is
2201 K St, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at
(916) 539-4589.
NPI number for Dr Kelsie Jade Tatum Martinez is 1801175880 and her current mailing address is Po Box 1863, Camarillo, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1801175880.
Healthcare Provider's Profile
| Full Name | Dr Kelsie Jade Tatum Martinez |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 2201 K St, Sacramento, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801175880
- Provider Enumeration Date: 08/09/2011
- Last Update Date: 12/09/2021
Medical Identifiers
Medical identifiers for Dr Kelsie Jade Tatum Martinez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801175880 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY25975 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelsie Jade Tatum Martinez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kelsie Jade Tatum Martinez, PSYD
Po Box 1863,
Camarillo, CA 93011-1863
Ph: () - | Dr Kelsie Jade Tatum Martinez, PSYD
2201 K St,
Sacramento, CA 95816-4922
Ph: (916) 539-4589 |
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