Active NPI
Jon Maaske, PH.D.
- Psychoanalysis Psychologist
- Albuquerque, NM
National Provider Identifier
1346468923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- 498
- Practice address
- 3200 Carlisle Blvd NE
Suite 227
Albuquerque, NM 87110-1600 - Phone
- (505) 889-4570
- NPI assigned
- Apr 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | 498 | NM | Primary |
Addresses
Primary practice location
3200 Carlisle Blvd NE
Suite 227
Albuquerque, NM 87110-1600
Mailing address
3200 Carlisle Blvd NE
Suite 227
Albuquerque, NM 87110-1600
Phone (505) 889-4570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120420000483 | NM | Practitioner - Clinical Psychologist | 4183885999 | Practice locations: Albuquerque, NM |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3200 Carlisle NE
Suite 227
Albuquerque, NM 87110-1664
Phone (505) 889-4570
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1346468923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 CARLISLE BLVD NE",
"address_2": "SUITE 227",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101600",
"telephone_number": "505-889-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 CARLISLE BLVD NE",
"address_2": "SUITE 227",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871101600",
"telephone_number": "505-889-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAASKE",
"first_name": "JON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-21",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NM",
"license": "498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.