Active NPI
Molly Maxfield
- Clinical Psychologist
- Colorado Springs, CO
National Provider Identifier
1679084966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY.0003576
- Practice address
- 4863 N Nevada Ave Ste 321
Colorado Springs, CO 80918-3951 - Phone
- (719) 255-8002
- Fax
- (719) 255-8006
- NPI assigned
- Oct 13, 2017
- 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 | PSY.0003576 | CO | Primary |
Addresses
Primary practice location
4863 N Nevada Ave Ste 321
Colorado Springs, CO 80918-3951
Mailing address
Uccs Aging Center
4863 N Nevada Ave, Suite 321
Colorado Springs, CO 80918-3951
Phone (719) 255-8002
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY.0003576 | CO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507852800000",
"number": "1679084966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UCCS AGING CENTER",
"address_2": "4863 N NEVADA AVE, SUITE 321",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183951",
"telephone_number": "719-255-8002",
"fax_number": "719-255-8006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4863 N NEVADA AVE STE 321",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183951",
"telephone_number": "719-255-8002",
"fax_number": "719-255-8006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXFIELD",
"first_name": "MOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-13",
"last_updated": "2017-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "PSY.0003576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.