Organization Active NPI

Maynard'S Mental Health Management

  • Psychiatric/Mental Health Nurse Practitioner
  • Marysville, WA
National Provider Identifier
1801766563
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MAYNARD'S MENTAL HEALTH MANAGEMENT
Practice address
12001 39TH Dr NE
Marysville, WA 98271-8404
Phone
(425) 565-1170
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Rebecka MaynardNPI 1407604887
Title
Owner
Phone
(386) 457-9539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

12001 39TH Dr NE
Marysville, WA 98271-8404

Mailing address

12001 39TH Dr NE
Marysville, WA 98271-8404

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1801766563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 39TH DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982718404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 39TH DR NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982718404",
            "telephone_number": "425-565-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYNARD'S MENTAL HEALTH MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "REBECKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-457-9539"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.