PEGGY MAKI -WHITE PHD LLC


Address: 1226 West Ash, Suite F, Windsor, CO 80550
Phone: 9702868765

PEGGY MAKI -WHITE PHD LLC (NPI# 1265622476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265622476
Entity Type Organization
Organization Name PEGGY MAKI -WHITE PHD LLC
Other Organization Name PEGGY MAKI
Practice Address 1226 West Ash
Suite F
Windsor
CO 80550
Mailing Address P.o. Box 173
Windsor
CO 80550
Practice Telephone 9702868765
Mailing Telephone 9702868765
Enumeration Date 2007-07-25
Last Update Date 2013-01-30
Authorized Official Name DR. PEGGY SUSAN MAKI-WHITE (PSYCHOLOGIST / OWNER)
Authorized Official Telephone 9702868765
Authorized Official Credential PH.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
3593 CO Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO MEDICARE ADVANTAGE 1720171382 01
VALUE OPTION 3699754 01
CO CIGNA 3699754 01

Other Provider/Organization Names

Other Name Type Code
Peggy Maki Other Name - Individual/Organization

Office Location

Street Address 1226 WEST ASH
SUITE F
City WINDSOR
State CO
Zip Code 80550

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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285255992 Dnd Group of Companies LLC Psychologist 204 Old Village Cir, Windsor, CT 06095 2020-05-04
1326592221 Riggs Geriatric Psychology Pllc Psychologist 54 Main St Ste Ll2, Windsor, VT 05089-1321 2016-08-09
1720249311 J Sandra Leonard Psychologist 613 S Tebo St, Windsor, MO 65360-1737 2008-06-17
1841342094 Thomas F. Reif Psychologist 32 Maple Avenue, Windsor, CT 06095 2007-01-17
1447309216 Eileen Denise Roberts Psychologist 8911 Lakewood Dr Ste 25b, Windsor, CA 95492-7856 2007-01-09
1821161753 June Roberta Hyman Cismoski Psychologist 1194 W Ash, Ste D, Windsor, CO 80550-4608 2006-11-16
1306947213 Walter Joseph Pawlowski Psychologist 113 Maple Avenue, Windsor, CT 06095 2006-09-25
1366420796 Tenea M Lowman Psychologist 307 N. Main, Windsor, MO 65360 2006-01-05
1467438895 Patricia Hanley Psychologist 79 E Windsor Blvd, Windsor, VA 23487-9410 2005-12-18
1851771505 Dana Therese Carr Psychologist 100 Deerfield Road, Windsor, CT 06095 2015-06-08
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Competitor

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City WINDSOR
Zip Code 80550

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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