KELLY ANN MAYNES (NPI# 1518190222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518190222 |
| Entity Type | Individual |
| Full Name | KELLY ANN MAYNES |
| Credential | PSY.D. |
| Practice Address |
3300 Main St 4th Floor, Ste A Springfield MA 01107-1112 |
| Mailing Address |
280 Chestnut St 2nd Floor Springfield MA 01199-1001 |
| Practice Telephone | 4137947284 |
| Practice Fax Number | 4137947140 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2017-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
10323 | MA | Behavioral Health & Social Service Providers |
| Street Address |
3300 MAIN ST 4TH FLOOR, STE A |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226382 | James Kuo Chang Wang | Obstetrics & Gynecology | 3300 Main St, 4th Floor, Suite D, Springfield, MA 01107-1112 | 2005-06-22 |
| 1225639131 | Rachel M Carr | Nurse Practitioner | 3300 Main St, Springfield, MA 01107-1112 | 2020-11-06 |
| 1891337770 | Matthew Steven Baker | Physician Assistant | 3300 Main St, Springfield, MA 01107-1112 | 2019-10-12 |
| 1174091474 | Tracie Lacasse | Nurse Practitioner | 3300 Main St, Springfield, MA 01107-1112 | 2018-11-05 |
| 1366921983 | Elizabeth Marie Jarry | Nurse Practitioner | 3300 Main St, Springfield, MA 01107-1112 | 2018-08-14 |
| 1871009886 | Sage Kenyon Dow | Nurse Practitioner | 3300 Main St, Springfield, MA 01107-1112 | 2017-12-28 |
| 1124566948 | Elizabeth Howell Mitchell Burns | Clinical Neuropsychologist | 3300 Main St, Springfield, MA 01107-1112 | 2017-02-01 |
| 1245780774 | Lauren Elyse Miller | Student in an Organized Health Care Education/Training Program | 3300 Main St, Suite 4a, Springfield, MA 01199-1002 | 2016-10-07 |
| 1326597253 | Emily Annette Jackson | Advanced Practice Midwife | 3300 Main St, Ste 4d, Springfield, MA 01107-1112 | 2016-10-04 |
| 1588017024 | Janet Namono | Social Worker | 3300 Main St, 4th Floor, Springfield, MA 01199-1002 | 2016-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689103715 | Jessica Elizabeth Woods | Psychologist | 69 Worrell Dr, Springfield, PA 19064-3346 | 2017-06-12 |
| 1518281575 | Maura Lynn Gomez | Psychologist | 71 Colfax Rd, Springfield, NJ 07081-1118 | 2010-03-19 |
| 1902993884 | Kathleen O Galarza | Psychologist | 1130 Vester Ave, Suite C, Springfield, OH 45503-7302 | 2006-10-10 |
| 1912550146 | Leslee Rae Uhrich | Psychologist | 3300 Main Street, 4th Fl, Springfield, MA 01107-1112 | 2019-07-17 |
| 1922556372 | Colleen Brown | Psychologist | 1489 Baltimore Pike, Suite 250, Springfield, PA 19064-3958 | 2016-09-14 |
| 1376994079 | Loren Wright | Psychologist | 1695 Main St, # 400, Springfield, MA 01103-1348 | 2016-06-24 |
| 1982943205 | Karyn Hall Ewart | Psychologist | 8519 Tuttle Rd, Building B, Springfield, VA 22152-1508 | 2013-02-06 |
| 1790078483 | Kimberly Lipson Pollock | Psychologist | 5220 S 6th Street Rd, Springfield, IL 62703-5735 | 2011-05-27 |
| 1770891954 | Jennifer Carolina Macgregor | Psychologist | 300 Carew Street, Ste 2, Springfield, MA 01104 | 2010-09-21 |
| 1316177801 | Bernard J. Barile | Psychologist | 110 Maple St, Springfield, MA 01105-1864 | 2009-07-20 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
Please comment or provide details below to improve the information on KELLY ANN MAYNES.
| 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.