Maya Therapy Center LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MAYA THERAPY CENTER LLC

Practice address

505 S Madison Dr Ste 100
Tempe, AZ 85281-7213

Phone

(602) 368-3850

NPI assigned

Oct 14, 2022

Organization subpart

No

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

Authorized official

Name

Jasmine RobinsonNPI 1790398147

Title

Administrator

Phone

(602) 322-7031

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Maya Therapy Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Maya Therapy Center LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Glendale, AZ
  • NPI 1548189798
  NPD tax ID
• Maya Therapy Center LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1689460198
  NPD tax ID

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Maya Therapy Center LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Glendale, AZ
  • NPI 1548189798
  NPPES parent name
• Maya Therapy Center LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1689460198
  NPPES parent name

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lafayette Bishop, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1588387989
  Medicare reassignment NPD (past)
• Lovely Poole, LMSW

  • Social Worker
  • Phoenix, AZ
  • NPI 1801217120
  Medicare reassignment NPD (past)
• Jasmine Charee Robinson

  • Pharmacist
  • Henderson, NV
  • NPI 1790398147
  NPD Authorized official
• Lee Anthony Underwood, PSY.D.

  • Clinical Psychologist
  • Virginia Beach, VA
  • NPI 1972774347

  AZ

  Medicare reassignment NPD (past)

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745020800000",
    "number": "1770209488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S MADISON DR STE 100",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852817213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S MADISON DR STE 100",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852817213",
            "telephone_number": "602-368-3850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYA THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-322-7031"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allen Maxwell, ND
• Serenity Maxwell
• Stephen A Maxwell, AUD
• Bobby May
• Shelby Tanner May, SLPA
• Lauren Michelle Mayek, M.D.
• Mayo Clinic Arizona (Mayo Clinic Sports Medicine-River)
• Mayo Clinic Arizona (Tempe Sports Medicine)
• Nicole Mayo
• Thomas Jay Maystadt, PTA, ATC

• Community/Behavioral Health Agency in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.