Active NPI
Patricia Maynard, PSYD.
- Psychologist
- Newmarket, NH
National Provider Identifier
1154771871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1424
- Practice address
- 55 Main St Ste 312
Newmarket, NH 03857-1679 - Phone
- (978) 223-0277
- NPI assigned
- Jun 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1424 | NH | Primary |
| Psychologist | 103T00000X | 10358 | MA | |
| Clinical Psychologist | 103TC0700X | 10358 | MA |
Addresses
Primary practice location
55 Main St Ste 312
Newmarket, NH 03857-1679
Mailing address
55 Main St Ste 312
Newmarket, NH 03857-1679
Phone (978) 223-0277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1424 | NH | MD | Psychologist |
| 10358 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindset Mental Health, LLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Wilmington, MA
- NPI 1871803627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675296000000",
"number": "1154771871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MAIN ST STE 312",
"city": "NEWMARKET",
"state": "NH",
"postal_code": "038571679",
"telephone_number": "978-223-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MAIN ST STE 312",
"city": "NEWMARKET",
"state": "NH",
"postal_code": "038571679",
"telephone_number": "978-223-0277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNARD",
"first_name": "PATRICIA",
"name_prefix": "Dr.",
"credential": "PSYD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-14",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NH",
"license": "1424",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "10358",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "10358",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newmarket, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.