MAXWELL I MOHOLY PHD
NPI 1063802023
Psychologist in Leavenworth, WA

Active since January 29, 2015PECOS EnrolledAccepts Medicare Assignment
817 COMMERCIAL ST, LEAVENWORTH, WA 98826(509) 548-5815(509) 548-2510 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Maxwell I Moholy Phd NPPES

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

MAXWELL I MOHOLY PHD (NPI 1063802023) is an individual psychologist in Leavenworth, Washington and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Idaho Falls, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1063802023
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMAXWELL I MOHOLYCredential: PHD
Location Address817 COMMERCIAL STLeavenworth, WA 98826-1316
Mailing Address817 Commercial StLeavenworth, WA 98826-1316 · (509) 548-5815 · Fax (509) 548-2510
Fax(509) 548-2510
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 29, 2015
Last NPPES UpdateApril 12, 2023
NPPES CertifiedApril 12, 2023
NPI 1063802023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
817 COMMERCIAL ST, Leavenworth, WA 98826

Secondary Practice Location 1

Location 13417 Merlin Dr, Suite 102Idaho Falls, ID 83404-7430 · Phone (208) 552-0850

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Maxwell I Moholy Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284909060
PECOS Enrollment IDI20171004001049
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
817 COMMERCIAL ST
LEAVENWORTH, WA 98826
Family Medicine
817 COMMERCIAL ST
LEAVENWORTH, WA 98826
Physician Assistant (Medical)
817 COMMERCIAL ST
LEAVENWORTH, WA 98826
Physical Therapy Assistant
817 COMMERCIAL ST
LEAVENWORTH, WA 98826
Physician Assistant
817 COMMERCIAL ST
LEAVENWORTH, WA 98826
Dietitian, Registered
817 COMMERCIAL ST
LEAVENWORTH, WA 98826
Physician Assistant
817 COMMERCIAL ST
LEAVENWORTH, WA 98826
Physician Assistant
817 COMMERCIAL ST
LEAVENWORTH, WA 98826

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 Maxwell Moholy's NPI number?

The NPI number for Maxwell Moholy is 1063802023. It was assigned to this individual provider in the NPPES registry on January 29, 2015.

Where is Maxwell Moholy located?

Maxwell Moholy practices at 817 Commercial St, Leavenworth, WA 98826. The listed phone number is (509) 548-5815.

What is Maxwell Moholy's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Maxwell Moholy enrolled in Medicare?

Yes. Maxwell Moholy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Maxwell Moholy accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Maxwell Moholy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maxwell Moholy was last updated on April 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.