Organization Active NPI

Maya Klein Psychology, PC

  • Clinical Psychologist
  • Tigard, OR
National Provider Identifier
1003364019
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26592 Issued in CA
Legal business name
MAYA KLEIN PSYCHOLOGY, PC
Practice address
10260 SW Greenburg Rd Ste 400
Tigard, OR 97223-5514
Phone
(503) 244-7674
NPI assigned
Sep 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maya Bristow Klein, PHD
Title
Psychologist
Phone
(503) 244-7674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PSY26592 CA Primary

Addresses

Primary practice location

10260 SW Greenburg Rd Ste 400
Tigard, OR 97223-5514

Mailing address

11403 W Bernardo CT # 205
San Diego, CA 92127-1639
Phone (760) 846-8852

Other practice location 1

11403 W Bernardo Ct # 205
San Diego, CA 92127-1639
Phone (503) 244-7674

Other names 1

  • Maya Klein Psychological Services Former legal business name

National Provider Directory

National Provider Directory

Locations

662 Encinitas Blvd
Ste 228
Encinitas, CA 92024
Phone (760) 652-5647

11403 W Bernardo Ct
#205
San Diego, CA 92127
Phone (503) 244-7674

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1003364019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11403 W BERNARDO CT # 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271639",
            "telephone_number": "760-846-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 SW GREENBURG RD STE 400",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235514",
            "telephone_number": "503-244-7674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11403 W Bernardo Ct # 205",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921271639",
            "country_code": "US",
            "telephone_number": "503-244-7674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAYA KLEIN PSYCHOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "MAYA",
        "authorized_official_middle_name": "BRISTOW",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-244-7674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maya Klein Psychological Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tigard, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.