Individual provider Active NPI

Mary J Maymana, M.D.

  • Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1457558868
Registry record updated Sep 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
81448 Issued in AZ
Practice address
3306 W Catalina Dr
Phoenix, AZ 85017-5291
Phone
(602) 353-0703
Fax
(602) 353-0715
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 81448 AZ Primary

Addresses

Primary practice location

3306 W Catalina Dr
Phoenix, AZ 85017-5291

Mailing address

4747 N 7TH St
Suite 100
Phoenix, AZ 85014-3653
Phone (602) 279-7655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101129001059 AZ Practitioner - Psychiatry 3577759885 Reassigns benefits to 1 organization
I20131009001009 WY Practitioner - Psychiatry 3577759885 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81448AZMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Campbell County Hospital District Current Accepting new patients
Campbell County Hospital District CurrentSince Aug 2, 2013 Accepting new patients
Campbell County Hospital District Psychiatry CurrentSince Sep 25, 2023 Accepting new patients
Southeastern Arizona Behavioral Health Services, Inc. Current Accepting new patients
Campbell County Hospital District CurrentSince Aug 2, 2013 Accepting new patients
Southeastern Arizona Behavioral Health Service, Inc CurrentSince Jul 1, 2017 Accepting new patients
Jewish Family & Children'S Service Past Accepting new patients
Corazon Inc. Past Accepting new patients
Jewish Family & Children'S Service Past Accepting new patients
Corazon Inc. Past Accepting new patients

Locations

590 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-6177

470 S Ocotillo St
Benson, AZ 85602
Phone (520) 586-7080

611 W Union St
Benson, AZ 85602
Phone (520) 586-0800

501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811

Interoperability endpoints

  • Direct secure messaging: mary.maymanamd.p1@direct.ayfs.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1457558868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 N 7TH ST",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850143653",
            "telephone_number": "602-279-7655",
            "fax_number": "602-264-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3306 W CATALINA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850175291",
            "telephone_number": "602-353-0703",
            "fax_number": "602-353-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYMANA",
        "first_name": "MARY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "81448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.