Richard Joshua Maddox, M.A., PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

25909 Issued in CA

Practice address

409 Alberto Way
Suite 5
Los Gatos, CA 95032-5407

Phone

(408) 357-4102

Fax

(408) 550-1879

NPI assigned

Sep 28, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Josh Maddox Professional name

Medicare fee-for-service enrollment

Enrolled in CA

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, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wellspring Psychology PCGroup PAC ID 4385948041, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, 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 and National Provider Directory roles.

• Wellspring Psychology PC

  • Clinical Psychologist
  • Los Gatos, CA
  • NPI 1841655545

  CA, Clinical

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1073847752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ALBERTO WAY",
            "address_2": "SUITE 5",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950325407",
            "telephone_number": "408-357-4102",
            "fax_number": "408-550-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ALBERTO WAY",
            "address_2": "SUITE 5",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950325407",
            "telephone_number": "408-357-4102",
            "fax_number": "408-550-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOX",
        "first_name": "RICHARD",
        "middle_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "M.A., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-28",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "25909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSH",
            "last_name": "MADDOX",
            "prefix": "DR.",
            "credential": "M.A., PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• LZ Health Center Clinic
• Maan Medical Corporation
• Gregory Scott Macdonell, M.D.
• Kyle Macey, DPT
• Amelia Macleod
• Shaylin Maddox, MFT
• Maria Madero Pedroza, DPT
• Mayra M Magallon
• Danielle Magnin, DPT
• Richard Brian Mahan, PH.D.

• All providers in Los Gatos, CA
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.