Kelly Ann Maynes, PSYD | |
3300 Main St, 4th Floor, Ste A, Springfield, MA 01107-1112 | |
(413) 794-7284 | |
(413) 794-7140 |
Full Name | Kelly Ann Maynes |
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Gender | Female |
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 3300 Main St, Springfield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518190222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC2200X | Psychologist - Clinical Child & Adolescent | 10323 (Massachusetts) | Primary |
Entity Name | Connecticut Children's Specialty Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20031113000468 |
Mailing Address | Practice Location Address |
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Kelly Ann Maynes, PSYD 280 Chestnut St, 2nd Floor, Springfield, MA 01199-1001 Ph: (413) 794-5700 | Kelly Ann Maynes, PSYD 3300 Main St, 4th Floor, Ste A, Springfield, MA 01107-1112 Ph: (413) 794-7284 |
Brittany Zelgowski, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 80 State St, Springfield, MA 01103 Phone: 413-748-7698 Fax: 413-827-8231 | |
Mr. Young K Kim, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 155 Maple St, Ste 301, Springfield, MA 01105 Phone: 413-736-5393 Fax: 413-736-5100 | |
Dr. Steven A Winn, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Maple St, Springfield, MA 01105 Phone: 413-732-7419 | |
Dr. Alisa Beaver, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 155 Maple St, Suite 207, Springfield, MA 01105 Phone: 413-285-8722 Fax: 413-285-8722 | |
Stephanie Vazquez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Maple St, Springfield, MA 01105 Phone: 413-747-0705 | |
Dr. Paige Getchell, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 263 Alden St, Springfield, MA 01109 Phone: 413-748-3345 | |
Mrs. Ellen Elizabeth Haynes Johnson, M.S. Psychologist Medicare: Medicare Enrolled Practice Location: 3300 Main Street, 4a, Springfield, MA 01107 Phone: 413-794-7035 |