Active NPI
Elizabeth Ann Maynard, PH.D.
- Clinical Psychologist
- Houston, TX
National Provider Identifier
1225122062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 32604
- Practice address
- 4203 Montrose Blvd
Suite 480
Houston, TX 77006-5471 - Phone
- (832) 971-2208
- NPI assigned
- Oct 3, 2006
- Last updated
- May 31, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 32604 | TX | Primary |
| Clinical Psychologist | 103TC0700X | PSY 19487 | CA |
Addresses
Primary practice location
4203 Montrose Blvd
Suite 480
Houston, TX 77006-5471
Mailing address
4203 Montrose Blvd
Suite 480
Houston, TX 77006-5471
Phone (832) 971-2208
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 19487 | CA | MD | Clinical Psychologist |
| 32604 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464652800000",
"number": "1225122062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4203 MONTROSE BLVD",
"address_2": "SUITE 480",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065471",
"telephone_number": "832-971-2208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4203 MONTROSE BLVD",
"address_2": "SUITE 480",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770065471",
"telephone_number": "832-971-2208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAYNARD",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2016-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "32604",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 19487",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.