Emily Maynard, PHD, Psychologist, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EMILY MAYNARD, PHD, PSYCHOLOGIST, INC.

Practice address

5276 Hollister Ave Ste 205
Santa Barbara, CA 93111-3066

Phone

(805) 229-1601

NPI assigned

Aug 30, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Emily Woodman Maynard, PHDNPI 1568976744

Title

Director

Phone

(914) 960-8936

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Woodman Maynard

  • Clinical Psychologist
  • Santa Barbara, CA
  • NPI 1568976744
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676246400000",
    "number": "1144940289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5276 HOLLISTER AVE STE 205",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931113066",
            "telephone_number": "805-229-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5276 HOLLISTER AVE STE 205",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931113066",
            "telephone_number": "805-229-1601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5276 Hollister Ave Ste 157",
            "address_purpose": "LOCATION",
            "city": "Santa Barbara",
            "state": "CA",
            "postal_code": "931114033",
            "country_code": "US",
            "telephone_number": "805-229-1601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "918 W Campus Ln",
            "address_purpose": "LOCATION",
            "city": "Goleta",
            "state": "CA",
            "postal_code": "931174340",
            "country_code": "US",
            "telephone_number": "914-960-8936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMILY MAYNARD, PHD, PSYCHOLOGIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "WOODMAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-960-8936",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.