Dr. Kimberly M Maynard, PSYD
Psychologist, Clinical in Springfield, Massachusetts
1942459581- Practice location
- 155 Maple St, Suite 203, Springfield, MA 01105-2649
- Phone
- 413-734-3331
- Fax
- —
- Last updated
- November 15, 2022
Kimberly Marie Maynard is a Psychologist, Clinical based in Springfield, MA. Kimberly Marie Maynard practices in Springfield, MA and has the professional credentials of PSYD. The NPI Number for Kimberly Marie Maynard is 1942459581 and holds a License No. 9904 (MA). The current practice location address for Kimberly Marie Maynard is 155 Maple St, Suite 203, Springfield, MA 01105-2649 and can be reached out via phone at 413-734-3331.
Provider Profile Details
- NPI Number
- 1942459581
- Provider Name
- Kimberly Marie Maynard
- Credential
- PSYD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 155 Maple St, Suite 203, Springfield, MA 01105-2649
- Phone Number
- 413-734-3331
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 18, 2008
- Last Update Date
- November 15, 2022
- Certification Date
- November 15, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 155 Maple St
Suite 203
Springfield, MA 01105-2649 - City
- Springfield
- State
- Massachusetts
- Zip
- 01105-2649
- Phone Number
- 413-734-3331
Provider Business Mailing Address Details
- Address
- 155 Maple St
Suite 203
Springfield, MA 01105-2649 - City
- Springfield
- State
- MA
- Zip
- 01105-2649
- Phone Number
- 413-734-3331
License Information
- License Number (1)
- 9904
- License State (1)
- MA
- Taxonomy (1)
- Psychologist, Health Service · 103TH0100X
- License Number (2)
- 9904
- License State (2)
- MA
- Taxonomy (2)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Kimberly M Maynard, PSYD?
The NPI number of Dr. Kimberly M Maynard, PSYD is 1942459581. It was assigned on September 18, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Kimberly M Maynard, PSYD?
Dr. Kimberly M Maynard, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 9904.
Where does Dr. Kimberly M Maynard, PSYD practice?
The practice location is 155 Maple St, Suite 203, Springfield, MA 01105-2649. The office can be reached at 413-734-3331 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942459581 directly on the NPPES registry website.