Individual provider Active NPI

Maika Marie Arthur, PSYD HSPP

  • Clinical Psychologist
  • Bloomington, IN
National Provider Identifier
1831166115
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20041758A Issued in IN
Practice address
901 S Rogers St Ste 106
Bloomington, IN 47403-4760
Phone
(812) 339-3632
Fax
(812) 339-3632
NPI assigned
Mar 4, 2006
Last updated
Aug 10, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20041758A IN
Clinical Psychologist 103TC0700X 20041758A IN Primary

Addresses

Primary practice location

901 S Rogers St Ste 106
Bloomington, IN 47403-4760

Mailing address

901 S Rogers St Ste 106
Bloomington, IN 47403-4760
Phone (812) 339-3632

Other identifiers 1

IdentifierTypeStateIssuer
000000334004OtherANTHEM

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

State licenses

LicenseStateTypeSpecialty
20041758AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
James Bradley Ray MD PC Past Accepting new patients
Vantage Point, Inc. Past Accepting new patients
Centerstone of Indiana, Inc. Past Accepting new patients
James Bradley Ray, MD PC PastSince Feb 1, 2000 Accepting new patients

Organizations & group practices 4

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": "1141430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1831166115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S ROGERS ST STE 106",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034760",
            "telephone_number": "812-339-3632",
            "fax_number": "812-339-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S ROGERS ST STE 106",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034760",
            "telephone_number": "812-339-3632",
            "fax_number": "812-339-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTHUR",
        "first_name": "MAIKA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSYD HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-04",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20041758A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041758A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000334004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.