Chaz D Mailey, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2069 Issued in KS

Practice address

555 Poyntz Ave Ste 243
Manhattan, KS 66502-0126

Phone

(785) 537-6051

Fax

(844) 222-3691

NPI assigned

Feb 25, 2013

Last updated

Jan 3, 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 KS

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

May accept Medicare assignment

Group practices

Manhattan Mental Health Services, LLCGroup PAC ID 4880951664, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Manhattan Mental Health Services, LLC

  • Clinical Psychologist
  • Manhattan, KS
  • NPI 1043645781
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1114267473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 POYNTZ AVE STE 243",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665020126",
            "telephone_number": "785-537-6051",
            "fax_number": "844-222-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 POYNTZ AVE STE 243",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665020126",
            "telephone_number": "785-537-6051",
            "fax_number": "844-222-3691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILEY",
        "first_name": "CHAZ",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-25",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "2069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Machin
• Jamison B Macke, PA
• Gilberto Magallanes
• Laura K Magallanes, COTA/L
• Sheri D. Mahan, OTR/L
• Megan Major
• Ian Malburg, MD
• Jennifer Kathleen Malcolm, D.O.
• Mark Anthony Maldonado
• Ashley Malmquist, LPC

• Clinical Psychologist in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.