Maya Bristow Klein, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY26592 Issued in CA

Practice address

10260 SW Greenburg Rd Ste 400
Tigard, OR 97223-5514

Phone

(503) 244-7674

NPI assigned

Aug 24, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1219536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1184871949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11403 W BERNARDO CT # 205",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271639",
            "telephone_number": "760-846-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10260 SW GREENBURG RD STE 400",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972235514",
            "telephone_number": "503-244-7674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11403 W Bernardo Ct # 205",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921271639",
            "country_code": "US",
            "telephone_number": "503-244-7674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "MAYA",
        "middle_name": "BRISTOW",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-24",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "2901",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY26592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Todd Kitson, CADCI, QMHA
• Angela Kittay, LPN
• Kristen Kittelson
• Heather M Kitterman, ANP
• Sara Kjeseth, CRM
• Jill M. Kleiner, ACNP
• Jacob Klesalek
• Colette Klopp James
• Gregory Joseph Kluthe, DPT
• Allison Danielle Knapp

• Psychologist in Tigard, OR
• Providers in Tigard, OR by specialty
• Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.