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MR. MICHAEL RAY MAYNARD
NPI 1205069812
Counselor - Mental Health in Rancho Cucamonga, CA

Active since August 29, 2009PECOS EnrolledAccepts Medicare Assignment
7828 DAY CREEK BLVD APT 131, RANCHO CUCAMONGA, CA 91739(909) 438-0351(909) 438-0351 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Michael Ray Maynard NPPES

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

MR. MICHAEL RAY MAYNARD (NPI 1205069812) is an individual mental health provider in Rancho Cucamonga, California, licensed in California (APCC9197) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS, maintains a secondary practice location in Ontario, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1205069812
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MICHAEL RAY MAYNARD
Location Address7828 DAY CREEK BLVD APT 131Rancho Cucamonga, CA 91739-8570
Mailing Address7828 Day Creek Blvd Apt 131Rancho Cucamonga, CA 91739-8570 · (909) 438-0351 · Fax (909) 438-0351
Phone(909) 438-0351
Fax(909) 438-0351
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 29, 2009
Last NPPES UpdateOctober 3, 2022
NPPES CertifiedOctober 3, 2022
✔ NPI 1205069812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · APCC9197
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
7828 DAY CREEK BLVD APT 131, Rancho Cucamonga, CA 91739
Open in Google Maps ↗

Secondary Practice Location 1

Location 1125 W F StOntario, CA 91762-3262 · Phone (909) 986-4550 · Fax (909) 986-4506

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

Mr. Michael Ray Maynard 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 ID6709328792
PECOS Enrollment IDI20251113003819
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.

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 Michael Maynard's NPI number?

The NPI number for Michael Maynard is 1205069812. It was assigned to this individual provider in the NPPES registry on August 29, 2009.

Where is Michael Maynard located?

Michael Maynard practices at 7828 Day Creek Blvd Apt 131, Rancho Cucamonga, CA 91739. The listed phone number is (909) 438-0351.

What is Michael Maynard's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Michael Maynard enrolled in Medicare?

Yes. Michael Maynard 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.

When was this NPI record last updated?

The NPPES record for Michael Maynard was last updated on October 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.