| Mr Benny Ray Martin, PHD | |
|
10333 El Camino Real, Atascadero, CA 93422-5808 | |
| (805) 468-2000 | |
| (805) 468-6011 |
| Full Name | Mr Benny Ray Martin |
|---|---|
| Gender | Male |
| Speciality | Clinical Psychologist |
| Experience | 21 Years |
| Location | 10333 El Camino Real, Atascadero, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124150180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY22824 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY00003320 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Center For Psychological Health Llc | 4789008913 | 4 |
| The Center For Family And Lifespan Development | 7214367069 | 6 |
| Entity Name | The Center For Family & Lifespan Development |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508153859 PECOS PAC ID: 7214367069 Enrollment ID: O20200420001772 |
| Entity Name | The Center For Psychological Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144694001 PECOS PAC ID: 4789008913 Enrollment ID: O20200721003754 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Benny Ray Martin, PHD 10333 El Camino Real, Atascadero, CA 93422-5808 Ph: () - | Mr Benny Ray Martin, PHD 10333 El Camino Real, Atascadero, CA 93422-5808 Ph: (805) 468-2000 |
Jeffrey Franz Teuber, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93423 Phone: 805-468-2000 Fax: 805-466-6011 | |
Dr. Timothy Edward Nastasi, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000 Fax: 805-468-2000 | |
Gina Marie Najolia, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000 | |
Emily Rosten, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93423 Phone: 805-468-2000 Fax: 805-466-6011 | |
Darren Kenneth Smith, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2170 | |
Dr. Kevin M Perry, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-3757 | |
Suzanne C Maclelland, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7305 Morro Rd Ste 201, Atascadero, CA 93422 Phone: 805-203-6421 |