Kari Michelle-Ferber Maynard, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP4979 Issued in MN

Practice address

520 2ND Ave SE
Pine City, MN 55063-1505

Phone

(320) 322-5130

NPI assigned

Jun 26, 2013

Last updated

Apr 15, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nu Beginnings Psychological Services, PLLC

  dba Nu Beginnings Psychological Services

  • Clinical Psychologist
  • Pine City, MN
  • NPI 1528470549
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713139200000",
    "number": "1013357797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 2ND AVE SE",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631505",
            "telephone_number": "320-322-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 2ND AVE SE",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631505",
            "telephone_number": "320-322-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "KARI",
        "middle_name": "MICHELLE-FERBER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP4979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Ann Lindau, LMFT
• Katrina Carlene Lussier-Erickson, MA, LMFT
• Brenna Lyn Macdonald, MSW, LICSW
• Kathryn Marvin, NP
• Josie Marie Mattheis-McGeehan, LICSW
• Ashley McDonald, PHARMD
• Mary Alice Rose McHugh, MSW, LICSW
• Melinda Margaret McKay, DNP, APRN, PMHNP
• Meadow Creek LLC (Eosis Meadow Creek)
• Meadow Creek, Inc

• Clinical Psychologist in Pine City, MN
• Providers in Pine City, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.