Active NPI
Peter A Maves, PH.D.
- Clinical Psychologist
- Longmont, CO
National Provider Identifier
1215995154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 995
- Practice address
- 1079 S Hover St Ste 200
Longmont, CO 80501-7924 - Phone
- (303) 827-2485
- Fax
- (303) 442-7312
- NPI assigned
- May 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 995 | CO | Primary |
Addresses
Primary practice location
1079 S Hover St Ste 200
Longmont, CO 80501-7924
Mailing address
1079 S Hover St Ste 200
Longmont, CO 80501-7924
Phone (303) 827-2485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07009954 | Medicaid | CO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- University of Colorado School of Medicine, Denver, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1079 S Hover St
Suite 200
Longmont, CO 80501-7924
Phone (303) 827-2485
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 995 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peter a. Maves, PH.D, PLLC | Clinical | Current | Accepting new patients |
Locations
1079 S Hover St
Ste 200
Longmont, CO 80501
Phone (303) 827-2485
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
- Longmont, CO
- NPI 1225765423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658448000000",
"number": "1215995154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1079 S HOVER ST STE 200",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805017924",
"telephone_number": "303-827-2485",
"fax_number": "303-442-7312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1079 S HOVER ST STE 200",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805017924",
"telephone_number": "303-827-2485",
"fax_number": "303-442-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAVES",
"first_name": "PETER",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2022-07-22",
"certification_date": "2022-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07009954",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.