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DR. MAYA ALYCE PETTIES PSY.D.
NPI 1104057140
Psychologist - Clinical in Patton, CA

Active since August 06, 2009
3102 E. HIGHLAND AVE, MEDICAL STAFF OFFICE, PATTON, CA 92369(909) 425-7679(909) 425-6635 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Maya Alyce Petties Psy.d. NPPES

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

DR. MAYA ALYCE PETTIES PSY.D. (NPI 1104057140) is an individual clinical provider in Patton, California, licensed in California (20918) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1104057140
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MAYA ALYCE PETTIESCredential: PSY.D.
Location Address3102 E. HIGHLAND AVE, MEDICAL STAFF OFFICEPatton, CA 92369
Mailing Address3102 E. Highland Avenue, Medical Staff OfficePatton, CA 92369 · (909) 425-7679 · Fax (909) 425-6635
Phone(909) 425-7679
Fax(909) 425-6635
Sole ProprietorNo
Enumeration DateAugust 6, 2009
Last NPPES UpdateNovember 14, 2014
✔ NPI 1104057140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 20918
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3102 E. HIGHLAND AVE, Patton, CA 92369
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Other Providers at the Same Location NPPES 2

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

SEAN EUGENE EVANS PH.D.
Psychologist (Clinical)
3102 E. HIGHLAND AVE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7679
MS. BRENDA MARIE STARKINS LCSW
Social Worker (Clinical)
3102 E. HIGHLAND AVE, MEDICAL STAFF OFFICE
PATTON, CA 92369
San Bernardino County (909) 425-7000

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 Maya Petties's NPI number?

The NPI number for Maya Petties is 1104057140. It was assigned to this individual provider in the NPPES registry on August 6, 2009.

Where is Maya Petties located?

Maya Petties practices at 3102 E. Highland Ave Medical Staff Office, Patton, CA 92369. The listed phone number is (909) 425-7679.

What is Maya Petties's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Maya Petties was last updated on November 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.