Teri L Maynard

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1509 Issued in KY

Practice address

220 Abraham Flexner Way
6TH Floor-Psychology Department
Louisville, KY 40202-3826

Phone

(502) 582-7484

Fax

(502) 582-7646

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361836800000",
    "number": "1831223312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 DIXIE HWY",
            "address_2": "SUITE 130",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583913",
            "telephone_number": "502-582-7484",
            "fax_number": "502-582-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ABRAHAM FLEXNER WAY",
            "address_2": "6TH FLOOR-PSYCHOLOGY DEPARTMENT",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402023826",
            "telephone_number": "502-582-7484",
            "fax_number": "502-582-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYNARD",
        "first_name": "TERI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2013-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "1509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30615058",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100230110 (JPG)",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Maynard
• Michelle Renee Maynard, PT
• Paige Renee Maynard, B.S, IECE, TVI
• Staci Beth Maynard, PROVISIONAL TVI
• Tammy Lea Maynard, DI
• Alice Maynor
• Tracey Gregory Maynor, PAC
• Pleshette Maypray
• Ashley Christine Mays, BSW
• Chester Mays, M.D.

• Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2013; 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.