JALISA MAYNARD
NPI 1023837663
Psychologist - Clinical Child & Adolescent in Raleigh, NC

Q: What is Jalisa Maynard's NPI number?

The NPI number for Jalisa Maynard is 1023837663. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Q: What is Jalisa Maynard's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Jalisa Maynard was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 09, 2024

1520 BEACON RIDGE CT, RALEIGH, NC 27610(919) 720-3819 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Jalisa Maynard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JALISA MAYNARD (NPI 1023837663) is an individual clinical child & adolescent provider in Raleigh, North Carolina and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1023837663

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameJALISA MAYNARD

Location Address1520 BEACON RIDGE CTRaleigh, NC 27610-8820

Mailing Address1520 Beacon Ridge Ct Apt 202Raleigh, NC 27610-8822

Phone(919) 720-3819

Sole ProprietorYes

Enumeration DateOctober 9, 2024

NPPES CertifiedOctober 9, 2024

✔ NPI 1023837663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1520 BEACON RIDGE CT, Raleigh, NC 27610

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jalisa Maynard's NPI number?

The NPI number for Jalisa Maynard is 1023837663. It was assigned to this individual provider in the NPPES registry on October 9, 2024.

Where is Jalisa Maynard located?

Jalisa Maynard practices at 1520 Beacon Ridge Ct, Raleigh, NC 27610. The listed phone number is (919) 720-3819.

What is Jalisa Maynard's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Jalisa Maynard was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.