Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902305972 Individual Practitioner Female Practitioner

Celeste Rose Martinez

Licensed Psychiatric Technician • Lodi, CA

Professional Overview & Biography Verified Profile Summary

Celeste Martinez is a registered healthcare professional specializing in Licensed Psychiatric Technician in Lodi, CA. Practice services are available at 1209 W TOKAY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1209 W Tokay St

Lodi, CA 952403845

Telephone 2093312070
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Psychiatric Technician in Lodi, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Lodi, CA (2427 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Psychiatric Technician Primary Specialty

NUCC Taxonomy Code: 167G00000X

State License CA PT40655

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

Secondary Practice Locations

1212 N California St

Stockton, CA 952021552

Phone: 2093312070

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Zershana Khan , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1023674835

Doctor of Medicine (M.D.)

Shayal Sami

Day Training/Habilitation Specialist

NPI 1295203552
Shana Gibbons , RN

Registered Nurse - Psychiatric/Mental Health

NPI 1376106203

Registered Nurse

Jacqualine Johnson

Counselor - Mental Health

NPI 1477066520
Judith Dolyniuk , MFT-INTERN

Counselor - Mental Health

NPI 1518182534

MFTINTERN

Katherine Cusumano , APCC

Counselor - Professional

NPI 1659988822

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 06, 2018

Registered at 1209 W TOKAY ST, LODI, CA 952403845 (Tel: 2093312070)

📍
Updated Business Mailing Address February 06, 2018

Registered at 1212 N CALIFORNIA ST, STOCKTON, CA 952021552

👤
Provider Name / Credentials Updated February 06, 2018

Recorded as CELESTE MARTINEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2018

Licensed Psychiatric Technician (License #PT40655 in CA)

🟢
Initial NPI Registration & Enumeration February 06, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902305972
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2018
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

1212 N California St

Stockton, CA 952021552

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.