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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
3593 | CO | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | MEDICARE ADVANTAGE | 1720171382 | 01 |
VALUE OPTION | 3699754 | 01 | |
CO | CIGNA | 3699754 | 01 |
Other Name | Type Code |
---|---|
Peggy Maki | Other Name - Individual/Organization |
Street Address |
1226 WEST ASH SUITE F |
City | WINDSOR |
State | CO |
Zip Code | 80550 |
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1629592803 | Karly Yingst | Nurse Practitioner | 1516 Morning Glow Dr, Windsor, CO 80550 | 2017-07-31 |
1053766469 | Mary Jennifer Lewis | Counselor | 1473 Moraine Valley Dr, Severance, CO 80550 | 2016-05-04 |
1225413461 | Joshua Chad Kelly | Dentist | 375 W 4th Ave, Severance, CO 80550 | 2015-07-29 |
1861896169 | Tamara Percifield | Dental Hygienist | 651 Babine Ct, Windsor, CO 80550 | 2014-10-15 |
1740541952 | Tender Hearts Home Healthcare, LLC | Home Health | 201 10th Street, Windsor, CO 80550 | 2012-06-04 |
1831474931 | Occupational Health Centers of The Southwest Pa PC | Clinic/Center | 9299 Eastman Park Drive, Windsor, CO 80550 | 2011-10-20 |
1366736357 | Brandon Lars Nielson | Dentist | 1297 Main St., Suite3, Windsor, CO 80550 | 2011-06-07 |
1255661096 | Duy Duy Thuc Tran | Physician Assistant | 1455 Main St Ste 150, Windsor, CO 80550 | 2009-12-29 |
Find all providers in zip 80550 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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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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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.