Maxwell I Moholy, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

817 Commercial St
Leavenworth, WA 98826-1316

Phone

(509) 548-5815

Fax

(509) 548-2510

NPI assigned

Jan 29, 2015

Last updated

Apr 12, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 WA

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chelan County Public Hospital District No. 1Group PAC ID 3971491234, shared by 3 NPIs, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Chelan County Public Hospital District No. 1

  dba Cascade Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Leavenworth, WA
  • NPI 1528050309
  Medicare reassignment NPD
• Chelan County Public Hospital District No. 1

  dba Cascade Medical Center

  • Rural Acute Care Hospital
  • Leavenworth, WA
  • NPI 1962406389
  Medicare reassignment NPD
• Chelan County Public Hospital District No. 1

  dba Cascade Medical Center

  • Rural Health Clinic/Center
  • Leavenworth, WA
  • NPI 1437141215
  NPD
• Kenneth P. Lindsey, PHD, PA

  • Psychologist
  • Pocatello, ID
  • NPI 1255459608
  NPD (past)

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1063802023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 COMMERCIAL ST",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261316",
            "telephone_number": "509-548-5815",
            "fax_number": "509-548-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 COMMERCIAL ST",
            "city": "LEAVENWORTH",
            "state": "WA",
            "postal_code": "988261316",
            "telephone_number": "509-548-5815",
            "fax_number": "509-548-2510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3417 Merlin Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834047430",
            "country_code": "US",
            "telephone_number": "208-552-0850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHOLY",
        "first_name": "MAXWELL",
        "middle_name": "I",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-29",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Madsen
• Heather Kay McDowell
• Zona Ellen McKenzie, MD
• Tamara Ellen Merritt, DO
• Lynnel Kaye Miller, LMP
• Mt. Stuart P.T., P.S.
• Pamela Jean Mullen, LMFT
• Lauren N Musick, PA-C
• Kerstin L Nash, LMP
• Rachel Nichols, MT

• Psychologist in Leavenworth, WA
• Providers in Leavenworth, WA by specialty
• Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.