Kirby Maus, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

86480 Issued in CA

Practice address

2388 S Broadmoor Dr
Palm Springs, CA 92264-5906

Phone

(760) 534-1063

NPI assigned

Dec 31, 2018

Reactivated

May 25, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kirby.maus.p1@direct.sokya.nextgenshare.com

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.

• Headlight Health Medical Group PLLC

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1649064486
  NPD (past)

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1265904387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2388 S BROADMOOR DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922645906",
            "telephone_number": "760-534-1063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2388 S BROADMOOR DR",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922645906",
            "telephone_number": "760-534-1063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUS",
        "first_name": "KIRBY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-31",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "deactivation_date": "2019-02-14",
        "reactivation_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Matadama
• Bony Mathew, FNP-BC
• Marlon Stephen Mathews, MD
• Matthew Welebir DDS Inc
• Ashly Maughan
• Jacqueline Rene Maxson, LVN
• Steven H May, PHD
• Brenna C Mayhew, RPH
• Nancy Ann Mazur, N.D.
• Carolyn McAlpin, N.P.

• Marriage & Family Therapist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.