Active NPI
Wayne Rowan Maes, PH.D.
- Clinical Psychologist
- Corrales, NM
National Provider Identifier
1780765990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 266
- Practice address
- 4813 Corrales Rd.
Corrales, NM 87048-0531 - Phone
- (505) 898-5662
- Fax
- (505) 898-5890
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 266 | NM | Primary |
Addresses
Primary practice location
4813 Corrales Rd.
Corrales, NM 87048-0531
Mailing address
PO Box 531
Corrales, NM 87048-0531
Phone (505) 898-5662
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00NL86 | Other | NM | BC/BS |
| 59651 | Other | NM | PRESBYTERIAN HEALTH PLAN |
| N8313 | Medicaid | NM |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 266 | NM | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785628800000",
"number": "1780765990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 531",
"city": "CORRALES",
"state": "NM",
"postal_code": "870480531",
"telephone_number": "505-898-5662",
"fax_number": "505-898-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4813 CORRALES RD.",
"city": "CORRALES",
"state": "NM",
"postal_code": "870480531",
"telephone_number": "505-898-5662",
"fax_number": "505-898-5890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAES",
"first_name": "WAYNE",
"middle_name": "ROWAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2026-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "00NL86",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLAN",
"identifier": "59651",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N8313",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Corrales, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.