Active NPI
Peggy Maki -White PHD LLC
- Clinical Psychologist
- Windsor, CO
National Provider Identifier
1265622476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3593
- Legal business name
- PEGGY MAKI -WHITE PHD LLC
- Practice address
- 1226 West Ash
Suite F
Windsor, CO 80550 - Phone
- (970) 286-8765
- NPI assigned
- Jul 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Peggy Susan Maki-White, PH.D.
- Title
- Psychologist / Owner
- Phone
- (970) 286-8765
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3593 | CO | Primary |
Addresses
Primary practice location
1226 West Ash
Suite F
Windsor, CO 80550
Mailing address
P.O. Box 173
Windsor, CO 80550
Phone (970) 286-8765
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720171382 | Other | CO | MEDICARE ADVANTAGE |
| 3699754 | Other | CO | CIGNA |
| 3699754 | Other | VALUE OPTION |
Other names 1
- Peggy Maki
National Provider Directory
National Provider DirectoryLocations
1226 W Ash St
Ste F
Windsor, CO 80550
Phone (970) 286-8765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359504000000",
"number": "1265622476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 173",
"city": "WINDSOR",
"state": "CO",
"postal_code": "80550",
"telephone_number": "970-286-8765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 WEST ASH",
"address_2": "SUITE F",
"city": "WINDSOR",
"state": "CO",
"postal_code": "80550",
"telephone_number": "970-286-8765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEGGY MAKI -WHITE PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-25",
"last_updated": "2013-01-30",
"status": "A",
"authorized_official_last_name": "MAKI-WHITE",
"authorized_official_first_name": "PEGGY",
"authorized_official_middle_name": "SUSAN",
"authorized_official_title_or_position": "PSYCHOLOGIST / OWNER",
"authorized_official_telephone_number": "970-286-8765",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "3593",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ADVANTAGE",
"identifier": "1720171382",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "3699754",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTION",
"identifier": "3699754",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Peggy Maki",
"code": "5",
"type": "Other Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.