Individual provider Active NPI

Maya Lynn Todd, MD

  • Psychiatry Physician
  • Owensboro, KY
National Provider Identifier
1922530658
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
55400 Issued in KY
Practice address
2211 Mayfair Dr Ste 409
Owensboro, KY 42301-4570
Phone
(270) 417-7980
Fax
(270) 417-7989
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 55400 KY Primary

Addresses

Primary practice location

2211 Mayfair Dr Ste 409
Owensboro, KY 42301-4570

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

1 Trillium Way
Corbin, KY 40701-8727
Phone (606) 523-8521

Other practice location 2

245 Fountain Ct
Lexington, KY 40509
Phone (859) 323-6861

Other practice location 3

510 Ruby Dr
Madisonville, KY 42431-2168
Phone (270) 399-7900

Other practice location 4

1200 Barret Blvd
Henderson, KY 42420-4950
Phone (270) 844-8600

Other practice location 5

2025 W Everly Brothers Blvd Ste 1A
Powderly, KY 42367-5401
Phone (270) 377-2600

Other practice location 6

145 E 2nd St
Calhoun, KY 42327-2205
Phone (270) 273-3293

Other practice location 7

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811
Phone (270) 417-3772

Other practice location 8

2025 W Everly Brothers Blvd Ste 2A
Powderly, KY 42367-5401
Phone (270) 377-2626

Other practice location 9

908 Wallace Ave Ste 201
Leitchfield, KY 42754-1495
Phone (270) 230-0212

Electronic endpoints 8

TypeEndpointUseAffiliation
Direct Messaging Address mtodd100594@direct.owensborohealth.org
Direct Messaging Address mtodd100594@direct.owensborohealth.org
Direct Messaging Address mtodd100594@direct.owensborohealth.org
Direct Messaging Address mtodd100594@direct.owensborohealth.org
Direct Messaging Address mtodd100594@direct.owensborohealth.org
Direct Messaging Address mtodd100594@direct.owensborohealth.org
Direct Messaging Address mtodd100594@direct.owensborohealth.org
Direct Messaging Address mtodd100594@direct.owensborohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200305002404 KY Practitioner - Psychiatry 4486903283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Kentucky College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Owensboro Health Medical Group IncGroup PAC ID 0648255034, 455 clinicians

Practice addresses (Care Compare)

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811

2211 Mayfair Dr
Owensboro, KY 42301-4569

2211 Mayfair Dr
Suite 409
Owensboro, KY 42301-4570
Phone (270) 417-7980

PO Box
Suite 23229
Owensboro, KY 42304-3229

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group, Inc Psychiatry CurrentSince Jan 10, 2020 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Jan 10, 2020 Accepting new patients
Owensboro Health Medical Group Inc Current Accepting new patients

Locations

145 E 2nd St
Calhoun, KY 42327
Phone (270) 273-3293

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1200 Barret Blvd
Henderson, KY 42420
Phone (270) 844-8600

908 Wallace Ave
Ste 201
Leitchfield, KY 42754
Phone (270) 230-0212

510 Ruby Dr
Madisonville, KY 42431
Phone (270) 399-7757

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

2211 Mayfair Dr
Ste 409
Owensboro, KY 42301
Phone (270) 417-7980

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2025 W Everly Brothers Blvd
Ste 1A
Powderly, KY 42367
Phone (270) 377-2600

Interoperability endpoints

  • Direct secure messaging: mtodd21604@ukhcdirect.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1922530658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 MAYFAIR DR STE 409",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423014570",
            "telephone_number": "270-417-7980",
            "fax_number": "270-417-7989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Trillium Way",
            "address_purpose": "LOCATION",
            "city": "Corbin",
            "state": "KY",
            "postal_code": "407018727",
            "country_code": "US",
            "telephone_number": "606-523-8521",
            "fax_number": "606-523-8742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Fountain Ct",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "40509",
            "country_code": "US",
            "telephone_number": "859-323-6861",
            "fax_number": "859-323-1194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 Ruby Dr",
            "address_purpose": "LOCATION",
            "city": "Madisonville",
            "state": "KY",
            "postal_code": "424312168",
            "country_code": "US",
            "telephone_number": "270-399-7900",
            "fax_number": "270-399-7910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Barret Blvd",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424204950",
            "country_code": "US",
            "telephone_number": "270-844-8600",
            "fax_number": "270-844-8610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 W Everly Brothers Blvd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Powderly",
            "state": "KY",
            "postal_code": "423675401",
            "country_code": "US",
            "telephone_number": "270-377-2600",
            "fax_number": "270-377-2610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Calhoun",
            "state": "KY",
            "postal_code": "423272205",
            "country_code": "US",
            "telephone_number": "270-273-3293",
            "fax_number": "270-273-3294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Owensboro",
            "state": "KY",
            "postal_code": "423039811",
            "country_code": "US",
            "telephone_number": "270-417-3772",
            "fax_number": "270-417-3709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 W Everly Brothers Blvd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Powderly",
            "state": "KY",
            "postal_code": "423675401",
            "country_code": "US",
            "telephone_number": "270-377-2626",
            "fax_number": "270-377-2777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "908 Wallace Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Leitchfield",
            "state": "KY",
            "postal_code": "427541495",
            "country_code": "US",
            "telephone_number": "270-230-0212",
            "fax_number": "270-230-0104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TODD",
        "first_name": "MAYA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "55400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtodd100594@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "510 Ruby Dr",
            "city": "Madisonville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424312168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtodd100594@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "1201 Pleasant Valley Rd",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423039811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtodd100594@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "145 E 2nd St",
            "city": "Calhoun",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423272205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtodd100594@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "2025 W Everly Brothers Blvd Ste 2A",
            "city": "Powderly",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423675401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtodd100594@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "2025 W Everly Brothers Blvd Ste 1A",
            "city": "Powderly",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423675401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtodd100594@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "2211 Mayfair Dr Ste 409",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423014570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtodd100594@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "1200 Barret Blvd",
            "city": "Henderson",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424204950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtodd100594@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "908 Wallace Ave Ste 201",
            "city": "Leitchfield",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427541495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.