Individual provider Active NPI

Adam Jacang Maher

  • Clinical Psychologist
  • Wheat Ridge, CO
National Provider Identifier
1194006031
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0004757 Issued in CO
Practice address
4851 Independence St Ste 100
Wheat Ridge, CO 80033-6711
Phone
(303) 501-2152
NPI assigned
Sep 6, 2011
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0004757 CO Primary

Addresses

Primary practice location

4851 Independence St Ste 100
Wheat Ridge, CO 80033-6711

Mailing address

4851 Independence St Ste 100
Wheat Ridge, CO 80033-6711
Phone (303) 501-2152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20190228002057 CO Practitioner - Clinical Psychologist 7416296868 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0004757COMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Center for Mental Health CurrentSince Jan 9, 2019 Accepting new patients
Maher Psychological Services PLLC Psychologist Current Accepting new patients
Jefferson Center for Mental Health CurrentSince Jan 9, 2019 Accepting new patients

Locations

16280 W 64th Ave
Arvada, CO 80007
Phone (303) 925-4561

7828 Vance Dr
Arvada, CO 80003
Phone (303) 432-5700

12055 W 2nd Pl
Lakewood, CO 80228
Phone (303) 425-4480

12055 W 2nd Pl
Fl 2
Lakewood, CO 80228

3595 S Teller St
Ste 200
Lakewood, CO 80235
Phone (720) 713-0587

5801 W Alameda Ave
Lakewood, CO 80226
Phone (303) 432-5444

9485 W Colfax Ave
Lakewood, CO 80215
Phone (303) 432-5200

4851 Independence St
Wheat Ridge, CO 80033
Phone (303) 432-5115

4851 Independence St
Ste 100
Wheat Ridge, CO 80033
Phone (303) 456-5495

9595 W 49th Ave
Wheat Ridge, CO 80033
Phone (303) 425-6328

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1194006031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 INDEPENDENCE ST STE 100",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336711",
            "telephone_number": "303-501-2152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 INDEPENDENCE ST STE 100",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336711",
            "telephone_number": "303-501-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHER",
        "first_name": "ADAM",
        "middle_name": "JACANG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-06",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "0004757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.