Active NPI
Jessica Maura, PHD
- Clinical Psychologist
- Parker, CO
National Provider Identifier
1558922385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY61049847
- Practice address
- 5467 Hospitality Place
Parker, CO 80134 - Phone
- (954) 734-0105
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY61049847 | WA | Primary |
Addresses
Primary practice location
5467 Hospitality Place
Parker, CO 80134
Mailing address
9878 W Belleview Ave Ste 2167
Denver, CO 80123-2101
Phone (954) 734-0105
Other practice location 1
325 9th Ave
Seattle, WA 98104-2420
Phone (206) 744-9911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558922385 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
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": "1561334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1558922385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9878 W BELLEVIEW AVE STE 2167",
"city": "DENVER",
"state": "CO",
"postal_code": "801232101",
"telephone_number": "954-734-0105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5467 HOSPITALITY PLACE",
"city": "PARKER",
"state": "CO",
"postal_code": "80134",
"telephone_number": "954-734-0105"
}
],
"practiceLocations": [
{
"address_1": "325 9th Ave",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981042420",
"country_code": "US",
"telephone_number": "206-744-9911",
"fax_number": "206-744-3236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAURA",
"first_name": "JESSICA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-24",
"last_updated": "2025-09-11",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY61049847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558922385",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.