Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coelise H Martin

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1154965283

Coelise H Martin is a Child & Adolescent Psychiatric/Mental Health Registered Nurse in Oakland, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

390 40th St
Oakland, CA 94609-2633
Phone: (510) 613-0330
Fax: (510) 569-4589
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0807X · Licence N9378568 (CA)

Record details

NPI number1154965283
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 31, 2019
Last updated in NPPESOctober 31, 2019

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