Peggy Susan Maki

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP 5729 Issued in MN

Practice address

601 Carlson Pkwy
Suite 1050
Minnetonka, MN 55305-5203

Phone

(970) 286-8765

NPI assigned

Oct 2, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Peggy Maki PHD LLC

  • Clinical Psychologist
  • Minnetonka, MN
  • NPI 1518381235
  Medicare reassignment Authorized official
• Interventional Pain & Physical Medicine Clinic

  • Pain Clinic/Center
  • Sartell, MN
  • NPI 1013056969
  Medicare reassignment NPD
• Interventional Pain & Physical Medicine Clinic

  • Durable Medical Equipment & Medical Supplies
  • Sartell, MN
  • NPI 1710230800
  NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1720171382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 CARLSON PKWY",
            "address_2": "SUITE 1050",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055203",
            "telephone_number": "970-286-8765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 CARLSON PKWY",
            "address_2": "SUITE 1050",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055203",
            "telephone_number": "970-286-8765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKI",
        "first_name": "PEGGY",
        "middle_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP  5729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sahra Mahamud
• Vishal Kaveesh Maharaj, M.D.
• Luc Didier Mahler, D.C
• Breanna Mahoney
• Janet Merlack Maiocco, MSN NP
• Riley Jo Maki
• Michelle A Makres
• Claire Malark, APRN,CNP
• Tamara Malesev, NP
• Amber Malone, FNP

• Clinical Psychologist in Minnetonka, MN
• Providers in Minnetonka, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.

Verify at the official NPI Registry.