Ivan Daniel Mayor, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

14196745-1205 Issued in UT

Practice address

401 Quarry Rd
Palo Alto, CA 94304-1419

Phone

(650) 725-5591

NPI assigned

Mar 24, 2021

Last updated

Jan 15, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Serenity TMS Centers LLC

  dba Serenity Mental Health Centers

  • Psychiatry Physician
  • Lehi, UT
  • NPI 1710492095
  Medicare reassignment NPD

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1225615594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 VILLAGE DR APT 11",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 QUARRY RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041419",
            "telephone_number": "650-725-5591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYOR",
        "first_name": "IVAN",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "14196745-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reagan Frincks Maye, APRN
• Alexandra Mayer, M.B.A.
• Cynthia Gail Mayer, LSCW, C-ASWCM
• Olivia Mayer, RD
• Elizabeth Wilson Mayne, MD
• Mayview Community Clinic
• Mayview Community Health Center, Inc
• Richard Irwin Mazze, M.D.
• Constance Ohlrich Mazzetti, DDS
• Robert John Mazzetti, DDS

• Psychiatry Physician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.