Maya McNeilly PA, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

NC1658 Issued in NC

Legal business name

MAYA MCNEILLY PA, PH.D.

Practice address

1140 Holly Springs Rd
Suite #207
Holly Springs, NC 27540

Phone

(919) 557-6111

Fax

(919) 567-9920

NPI assigned

Jan 17, 2008

Organization subpart

No

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

Authorized official

Name

Maya McNeillyNPI 1457436545

Title

Provider

Phone

(919) 567-9920

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maya McNeilly, PHD

  • Psychologist
  • Holly Springs, NC
  • NPI 1457436545
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1235315441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 822",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275400822",
            "telephone_number": "919-567-9920",
            "fax_number": "919-567-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 HOLLY SPRINGS RD",
            "address_2": "SUITE #207",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "27540",
            "telephone_number": "919-557-6111",
            "fax_number": "919-567-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYA MCNEILLY PA, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "MCNEILLY",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "919-567-9920"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "NC1658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Elizabeth Martin, LCMHC
• Jamie Elizabeth Martin, CNM
• Tamika Javon Martin, SLP-MA-CCC
• Amanda Martschenko
• Brittany Taylor Matsinger
• Darcey O'Steen McClam, OMT
• Vicky L McGee, LPA
• Katharine Anne McGrail, PHARMD
• Leigh McKay, LCMHCA
• Antonio McKeller, FNP

• Psychologist in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.