Individual provider Active NPI

Max James Kayes, MFT

  • Marriage & Family Therapist
  • Moreno Valley, CA
National Provider Identifier
1306905492
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC22998 Issued in CA
Practice address
12810 Heacock St Ste B202
Moreno Valley, CA 92553-2873
Phone
(951) 247-6542
NPI assigned
Dec 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC22998 CA Primary

Addresses

Primary practice location

12810 Heacock St Ste B202
Moreno Valley, CA 92553-2873

Mailing address

12810 Heacock St Ste B202
Moreno Valley, CA 92553-2873
Phone (951) 247-6542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC22998CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Hope Christian Counseling Foundation, Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1306905492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12810 HEACOCK ST STE B202",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925532873",
            "telephone_number": "951-247-6542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 HEACOCK ST STE B202",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925532873",
            "telephone_number": "951-247-6542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYES",
        "first_name": "MAX",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-06",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC22998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; 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.