Individual provider Active NPI

Max Aaron Garlick, PHD

  • Psychologist
  • Santa Cruz, CA
National Provider Identifier
1790834661
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY30619 Issued in CA
Practice address
180 7TH Ave Ste 202
Santa Cruz, CA 95062-4734
Phone
(831) 316-4320
NPI assigned
Jan 9, 2007
Last updated
Jan 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY30619 CA Primary

Addresses

Primary practice location

180 7TH Ave Ste 202
Santa Cruz, CA 95062-4734

Mailing address

180 7TH Ave Ste 202
Santa Cruz, CA 95062-4734
Phone (831) 316-4320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20190529002839 CA Practitioner - Clinical Psychologist 8921341249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

180 7TH Ave
Suite 202
Santa Cruz, CA 95062-4734
Phone (561) 235-9016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY30619CAMDPsychologist
30619CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Lakes Psychology, PC CurrentSince Aug 20, 2024 Accepting new patients

Locations

180 7th Ave
Ste 202
Santa Cruz, CA 95062
Phone (561) 235-9016

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1790834661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 7TH AVE STE 202",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624734",
            "telephone_number": "831-316-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 7TH AVE STE 202",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950624734",
            "telephone_number": "831-316-4320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLICK",
        "first_name": "MAX",
        "middle_name": "AARON",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY30619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.