Individual provider Active NPI

Maya Smolarek, MD

  • Psychiatry Physician
  • Pasadena, CA
National Provider Identifier
1902267800
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
152153 Issued in CA
Practice address
525 Cordova St
Pasadena, CA 91101-2552
Phone
(818) 643-5082
NPI assigned
Mar 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A152153 CA
Student in an Organized Health Care Education/Training Program 390200000X CA
Psychiatry Physician 2084P0800X 152153 CA Primary

Addresses

Primary practice location

525 Cordova St
Pasadena, CA 91101-2552

Mailing address

525 Cordova St
Pasadena, CA 91101-2552

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address maya@adelphapsych.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Previously, effective Sep 1, 2020 through Sep 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
152153CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adelpha Psychiatric Group, Inc. Psychiatry PastSince Oct 30, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: maya.smolarek.1@12972.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12972/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1902267800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 CORDOVA ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 CORDOVA ST",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012552",
            "telephone_number": "818-643-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLAREK",
        "first_name": "MAYA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-19",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A152153",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "152153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "maya@adelphapsych.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "69 N Catalina Ave",
            "city": "Pasadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "911062301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.