Organization Active NPI

Rita Maynard, Psy.D.,LLC

  • Clinical Psychologist
  • Lake Oswego, OR
National Provider Identifier
1275602187
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
847 Issued in OR
Legal business name
RITA MAYNARD, PSY.D.,LLC
Practice address
311 B Ave
Suite R
Lake Oswego, OR 97034-3011
Phone
(503) 692-4092
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Dr. Rita Maynard, PSY.D.
Title
Psychologist
Phone
(503) 692-4092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 847 OR Primary

Addresses

Primary practice location

311 B Ave
Suite R
Lake Oswego, OR 97034-3011

Mailing address

311 B Ave
Suite R
Lake Oswego, OR 97034-3011
Phone (503) 692-4092

Other names 1

  • RITA MAYNARD, PSY.D. Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1275602187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 B AVE",
            "address_2": "SUITE R",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343011",
            "telephone_number": "503-692-4092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 B AVE",
            "address_2": "SUITE R",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970343011",
            "telephone_number": "503-692-4092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITA MAYNARD, PSY.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-692-4092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITA MAYNARD, PSY.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.

Verify at the official NPI Registry.