Jessie Maynard, LP, PSYD, CAADC
NPI 1710126750 · Clinical Psychologist · Haslett, MI
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jessie Maynard, LP, PSYD, CAADC is a Clinical Psychologist provider in Haslett, MI (NPI 1710126750).
Provider details
- NPI number
- 1710126750
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- LP, PSYD, CAADC
- Sex
- Male
- Sole proprietor
- Yes
- License
- C-00917 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
Mailing address
Registry dates
- Enumerated
- 2009-02-15
- Last updated
- 2025-05-12
- Certified
- 2025-05-12
Frequently asked questions
- What is Jessie Maynard's NPI number?
- Jessie Maynard's National Provider Identifier (NPI) is 1710126750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jessie Maynard's specialty?
- Jessie Maynard is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jessie Maynard located?
- Jessie Maynard's practice location on file with NPPES is 1199 Teakwood Cir, Haslett, MI 48840-9734.
- What is Jessie Maynard's phone number?
- The practice phone number listed in the NPPES registry for Jessie Maynard is (202) 630-2790.
- Does Jessie Maynard accept Medicare?
- Jessie Maynard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jessie Maynard's NPI active?
- Yes — Jessie Maynard's NPI (1710126750) is active in the NPPES registry as of the last update on 2025-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.