Individual provider Active NPI

Louise Davis Maynor, PSYD

  • Psychologist
  • Fayetteville, NC
National Provider Identifier
1114125929
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4723 Issued in NC
Practice address
711 Executive PL
Fayetteville, NC 28305-5193
Phone
(910) 615-3333
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PSY24719 CA
Psychologist 103T00000X 4723 NC Primary

Addresses

Primary practice location

711 Executive PL
Fayetteville, NC 28305-5193

Mailing address

1375 55TH St
Emeryville, CA 94608-2609
Phone (510) 655-7880

Other practice location 1

1262 Oliver St
Fayetteville, NC 28304-4449
Phone (910) 615-3333

Other practice location 2

3425 Melrose Rd
Fayetteville, NC 28304-1608
Phone (910) 615-3333

Other practice location 3

3429 Melrose Rd
Fayetteville, NC 28304-1608
Phone (910) 615-3333

Other practice location 4

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-3333

Other practice location 5

210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 615-3333

Other practice location 6

300 E McKay St
Elizabethtown, NC 28337-9037
Phone (910) 615-3333

Other practice location 7

588 Bailey Rd
Lumberton, NC 28358-2455
Phone (910) 615-3333

Other practice location 8

2346 Barrington Cir
Fayetteville, NC 28303-4284
Phone (910) 615-3333

Other practice location 9

7 E Duncan St
Lillington, NC 27546-4829
Phone (910) 615-3333

Other practice location 10

3415A Melrose Rd
Fayetteville, NC 28304-1608
Phone (910) 615-3333

Other practice location 11

1375 55th St
Emeryville, CA 94608-2609
Phone (510) 655-7880 ext. 364

Other practice location 12

7569 N West St
Falcon, NC 28342
Phone (910) 615-3333

Other practice location 13

13815 Professional Center Dr Ste 100
Huntersville, NC 28078-7951
Phone (704) 384-1320

Other practice location 14

523 Country Club Dr
Fayetteville, NC 28301-7613
Phone (910) 615-3333

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lmaynor536550@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20180412002532 NC Practitioner - Clinical Psychologist 7113280728 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

711 Executive PL
Fayetteville, NC 28305-5193
Phone (910) 615-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY24719CAMDMental Health Counselor
4723NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince May 21, 2021 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc Psychologist CurrentSince May 21, 2021 Accepting new patients

Locations

3425 Melrose Rd
Fayetteville, NC 28304
Phone (910) 609-3700

2346 Barrington Cir
Fayetteville, NC 28303
Phone (704) 598-5031

3429 Melrose Rd
Fayetteville, NC 28304
Phone (910) 615-3200

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

3415A Melrose Rd
Fayetteville, NC 28304
Phone (910) 484-3000

1262 Oliver St
Fayetteville, NC 28304
Phone (910) 615-4801

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1114125929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 55TH ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082609",
            "telephone_number": "510-655-7880",
            "fax_number": "510-655-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 EXECUTIVE PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055193",
            "telephone_number": "910-615-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1262 Oliver St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044449",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3425 Melrose Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283041608",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3429 Melrose Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283041608",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Medical Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283769111",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E McKay St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379037",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "588 Bailey Rd",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582455",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2346 Barrington Cir",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283034284",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 E Duncan St",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275464829",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3415A Melrose Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283041608",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1375 55th St",
            "address_purpose": "LOCATION",
            "city": "Emeryville",
            "state": "CA",
            "postal_code": "946082609",
            "country_code": "US",
            "telephone_number": "510-655-7880 x364",
            "fax_number": "510-655-3379",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7569 N West St",
            "address_purpose": "LOCATION",
            "city": "Falcon",
            "state": "NC",
            "postal_code": "28342",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13815 Professional Center Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280787951",
            "country_code": "US",
            "telephone_number": "704-384-1320",
            "fax_number": "704-316-3138",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "523 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283017613",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAYNOR",
        "first_name": "LOUISE",
        "middle_name": "DAVIS",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "PSY24719",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmaynor536550@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1375 55th St",
            "city": "Emeryville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946082609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.