DR. KIMBERLY MARIE MAYNARD (NPI# 1942459581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942459581 |
Entity Type | Individual |
Full Name | DR. KIMBERLY MARIE MAYNARD |
Credential | PSY.D |
Practice Address |
155 Maple St Suite 203 Springfield MA 01105-2649 |
Practice Telephone | 4137343331 |
Mailing Telephone | 4137343331 |
Enumeration Date | 2008-09-18 |
Last Update Date | 2014-09-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
9904 | MA | Behavioral Health & Social Service Providers |
N | 103TH0100X |
Psychologist Specialization: Health Service |
9904 | MA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245542430 | Kimberly Elizabeth Maynard | Developmental Therapist | 2708 Ne 14th St, Suite 5, Pompano Beach, FL 33062-3565 | 2010-07-05 |
1063661635 | Kimberly Sue Maynard | Nurse Practitioner | 22221 Westernport Rd Sw, Westernport, MD 21562 | 2008-09-18 |
1760504567 | Kimberly Maynard | Occupational Therapist | 7 Baldwin St, Franklin, NH 03235-2000 | 2007-04-04 |
Street Address |
155 MAPLE ST SUITE 203 |
City | SPRINGFIELD |
State | MA |
Zip Code | 01105-2649 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205864998 | Deborah A. Fein | Clinical Neuropsychologist | 155 Maple St, Suite 407, Springfield, MA 01105-1828 | 2006-06-29 |
1083215669 | Fatima Abdelmagid | Counselor | 155 Maple St, Springfield, MA 01105-2649 | 2020-11-02 |
1316572324 | Maria Arias | Counselor | 155 Maple St, Springfield, MA 01105-2649 | 2020-03-10 |
1508498825 | Sabine Cayo-saylor | Registered Nurse | 155 Maple St, Springfield, MA 01105-2649 | 2020-02-05 |
1770113078 | Joanna R Miles | Psychologist | 155 Maple St, Springfield, MA 01105-2649 | 2020-01-25 |
1174069025 | Catherine Caplis | Psychologist | 155 Maple St, Suite 203, Springfield, MA 01105-2649 | 2017-01-17 |
1043752306 | Alisa Beaver | Psychologist | 155 Maple St, Suite 207, Springfield, MA 01105-2649 | 2016-11-17 |
1235686270 | David Nnyanzi | Counselor | 155 Maple St, Unit 207, Springfield, MA 01105-2649 | 2016-09-07 |
1659730257 | Excelsure Homes Health Care Solutions LLC | Home Health | 155 Maple St, Suite 409, Springfield, MA 01105-2649 | 2016-02-11 |
1811352818 | Barbara Marie Robinson | Specialist | 155 Maple St, 304, Springfield, MA 01105-2649 | 2015-12-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881166551 | Rachael Ellen Buckley | Behavioral Analyst | 1 Federal Street, Stccac Technical Park, Building 101, 1 East-3, Springfield, MA 01105 | 2018-12-19 |
1902380017 | Choice Recovery Coaching Inc. | Peer Specialist | 155 Maple St., Suite 305, Springfield, MA 01105 | 2018-09-24 |
1508351107 | Breanna Wardwell | Psychologist | 110 Maple St Ste 110, Springfield, MA 01105 | 2018-06-26 |
1538689831 | Ruthie May Therrien | Counselor | 140 High St #230, Springfield, MA 01105 | 2017-06-27 |
1124483771 | Jane Danette Smith | Counselor | 15 Mulberry Street, Phoenix House, Springfield, MA 01105 | 2015-12-28 |
1043682008 | Nancy Hernandez | Social Worker | 140 High Street Suite 230, South Bay Mental Health Springfield Clinic, Springfield, MA 01105 | 2015-10-29 |
1205204567 | Yarelis Aquino | Social Worker | 511 Eastt Columbus Ave, Springfield, MA 01105 | 2015-09-03 |
1417376419 | Wanda I Perez | Student in an Organized Health Care Education/Training Program | 367 Pine Street, Springfield, MA 01105 | 2014-04-08 |
1275968778 | Elizabeth Catherine Grey | Social Worker | 155 Maple St Ste 304, Springfield, MA 01105 | 2013-09-04 |
1891033148 | Carol Ouellette | Counselor | 511 East Columbus Avenue, Springfield, MA 01105 | 2013-01-22 |
Find all providers in zip 01105 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710509187 | Laura M Maggio | Psychologist | 11 Stephanie Cir, Springfield, MA 01129-1961 | 2020-05-08 |
1215556386 | Lotus Healing Center LLC | Psychologist | 28 Millburn Ave Ste 6, Springfield, NJ 07081-1023 | 2020-04-09 |
1194359216 | Kathrin A Koehler | Psychologist | 4674 Hominy Ridge Rd, Springfield, OH 45502-8031 | 2020-02-27 |
1689126120 | Assessment Consultants, LLC | Psychologist | 2146 W Chesterfield Blvd Ste E202, Springfield, MO 65807-8650 | 2016-11-01 |
1003366436 | Caitriona Hayes | Psychologist | 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 | 2016-10-10 |
1669929907 | Richart Lipe Demier | Psychologist | 5871 S Northern Ridge Rd, Springfield, MO 65810-1976 | 2016-09-03 |
1043660905 | Safe Harbor Christian Counseling of Northern Virginia LLC | Psychologist | 8304 Old Keene Mill Rd, Springfield, VA 22152-1640 | 2016-06-21 |
1659786432 | Kimberly Wilkins Psyd LLC | Psychologist | 1344 W Oakville Rd, Springfield, MO 65810-1696 | 2014-06-30 |
1548507817 | Bahn and Associates | Psychologist | 3000 Professional Dr Ste D, Bahn Consulting, Inc., Springfield, IL 62703-5931 | 2013-01-07 |
1396004990 | Cultivate Psychological Services LLC | Psychologist | 1439 S Rogers Ave, Springfield, MO 65804-1129 | 2012-05-16 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01105 |
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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.