IndividualActive
Maya Petties, PSY.D.
NPI 1104057140 · Clinical Psychologist · Patton, CA
Maya Petties, PSY.D. is a Clinical Psychologist provider in Patton, CA (NPI 1104057140).
Provider details
- NPI number
- 1104057140
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 20918 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3102 E. Highland Ave
Medical Staff Office
Patton, CA 92369
Phone: (909) 425-7679
Fax: (909) 425-6635
Approximate (ZIP-level) locationGet directions
Mailing address
3102 E. Highland Avenue
Patton, CA 92369
Registry dates
- Enumerated
- 2009-08-06
- Last updated
- 2014-11-14
Frequently asked questions
- What is Maya Petties's NPI number?
- Maya Petties's National Provider Identifier (NPI) is 1104057140, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Maya Petties's specialty?
- Maya Petties is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Maya Petties located?
- Maya Petties's practice location on file with NPPES is 3102 E. Highland Ave, Patton, CA 92369.
- What is Maya Petties's phone number?
- The practice phone number listed in the NPPES registry for Maya Petties is (909) 425-7679.
- Is Maya Petties's NPI active?
- Yes — Maya Petties's NPI (1104057140) is active in the NPPES registry as of the last update on 2014-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.