Alexandra Maestre-Bauzo, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

5842 Fayetteville Rd Ste 106
Durham, NC 27713-6294

Phone

(919) 572-0000

NPI assigned

Nov 6, 2012

Sex

Female

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 30, 2023 through Mar 30, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Lepage Associates

  • Psychologist
  • Durham, NC
  • NPI 1669977732
  NPD (past)

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1104170570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5842 FAYETTEVILLE RD STE 106",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5842 FAYETTEVILLE RD STE 106",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136294",
            "telephone_number": "919-572-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAESTRE-BAUZO",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwen Elizabeth Madill, LCSW
• Rita Madrazo-Peterson, PH.D.
• Deng Buok Madut
• Gabriel Sayre Maeck, LCSW
• Bethel Niate Maekele, MSW, LCSW-A
• Jacqueline E Maffett, LPC
• Christopher Adam Magera, MD
• Maggie'S Helping Hands
• John Magill, DPT, PT
• Magnolias Recovery and Transitional House Inc

• Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.