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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAMES MAULDIN MD
NPI 1619191012
Psychiatry & Neurology - Psychiatry in Providence, RI

Active since April 13, 2007PECOS EnrolledAccepts Medicare Assignment
55.2/100
CMS Quality Rating
741 WESTMINSTER ST STE 204, PROVIDENCE, RI 02903(702) 589-4871 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2026, Aug 12, 2022 (2 updates tracked since 2022).

About James Mauldin Md NPPES

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

JAMES MAULDIN MD (NPI 1619191012) is an individual psychiatry provider in Providence, Rhode Island, licensed in Colorado (40043) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619191012
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameJAMES MAULDINCredential: MD
Location Address741 WESTMINSTER ST STE 204Providence, RI 02903-4062
Mailing Address10789 Bradford Rd, Ste 204Littleton, CO 80127-6406 · (303) 951-3765 · Fax (303) 951-3764
Phone(702) 589-4871
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 1995
Enumeration DateApril 13, 2007
Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1619191012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CO · 40043
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
741 WESTMINSTER ST STE 204, Providence, RI 02903
Open in Google Maps ↗

Secondary Practice Locations 2

Location 110789 Bradford Rd, Ste 204Littleton, CO 80127-6406 · Phone (303) 951-3765 · Fax (303) 951-3764
Location 2501 S Cherry St Ste 820Denver, CO 80246-1325 · Phone (702) 589-4871 · Fax (702) 589-4872

Other Identifiers 1

Medicaid55222773CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Nebraska, Harvard Pilgrim Health Care and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Mauldin Md 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 ID547338493
PECOS Enrollment IDI20081006000613, I20240802001040, I20250428003163, I20251230003843, I20260105000723, I20260529003458
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.

Medicare Billing Reassignments

9

Medicare enrollment records show James Mauldin reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Behavioral Health Solutions Of Kansas LLC
1,259 mi
Psychiatry
21728 LINWOOD RD
Linwood, KS 66052
  • Reassigned Medicare billing, Kansas enrollment
  • 12 clinicians in this Medicare group
NPI 1184418865 (702) 589-4871
Bhs Of Nebraska LLC
1,267 mi
Psychiatry
1299 FARNAM ST STE 300394
Omaha, NE 68102
  • Reassigned Medicare billing, Nebraska enrollment
  • 5 clinicians in this Medicare group
NPI 1184587578 (702) 589-4871
Colorado In-Home Counseling
1,753 mi
Community/Behavioral Health
501 S CHERRY ST STE 820
Denver, CO 80246
  • Reassigned Medicare billing, Colorado enrollment
  • 76 clinicians in this Medicare group
NPI 1093220006 (702) 589-4871
Behavioral Health Solutions Of Montana
1,857 mi
Community/Behavioral Health
208 N 29TH ST STE 201
Billings, MT 59101
  • Reassigned Medicare billing, Montana enrollment
  • 13 clinicians in this Medicare group
NPI 1992556914 (702) 589-4871
Interactionmatters, LLC
1,952 mi
Clinical
102 GOLD AVE SW # 548
Albuquerque, NM 87102
  • Reassigned Medicare billing, New Mexico enrollment
  • 16 clinicians in this Medicare group
NPI 1780062489 (702) 589-4871
Behavioral Health Solutions Of Idaho
2,255 mi
Psychiatry
950 BANNOCK STREET, SUITE 1100, OFFICE 1166
Boise, ID 83702
  • Reassigned Medicare billing, Idaho enrollment
  • 8 clinicians in this Medicare group
NPI 1164286092 (702) 589-4871
Behavioral Health Solutions LLC
2,361 mi
Community/Behavioral Health
2200 PASEO VERDE PKWY STE 190
Henderson, NV 89052
  • Reassigned Medicare billing, Nevada enrollment
  • 157 clinicians in this Medicare group
NPI 1548765258 (702) 589-4871
Harbor Youth And Family Counseling
2,490 mi
Mental Health
16000 CHRISTENSEN RD STE 200
Tukwila, WA 98188
  • Reassigned Medicare billing, Washington enrollment
  • 43 clinicians in this Medicare group
NPI 1205466265 (833) 719-0886
Oregon Behavioral Health Solutions, LLC
2,531 mi
Psychiatry
6003 SE 136TH AVE
Portland, OR 97236
  • Reassigned Medicare billing, Oregon enrollment
  • 14 clinicians in this Medicare group
NPI 1992525620 (833) 719-0886

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
7,687 services1,408 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
1,581 services981 patients
Telephone or internet referral service, 30 minutes 99452
A telephone or internet referral service involves a 30-minute session where you can discuss your health concerns with a healthcare professional. They will listen to your symptoms, answer your questions, and guide you to the appropriate specialist or service for further assistance. This service is safe, confidential, and convenient.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290021
Location620 Shadow LaneLas Vegas, NV 89106 · Clark County
Emergency services

Henderson Hospital

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number290057
Location1050 West Galleria DriveHenderson, NV 89011 · Clark County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02903 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

55.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality27.71
Promoting Interoperability56
Improvement Activities30
Cost38.79

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.

COURTNEY SENINI
Nurse Practitioner (Psychiatric/Mental Health)
741 WESTMINSTER ST STE 204
PROVIDENCE, RI 02903
Providence County (702) 589-4871
BEHAVIORAL HEALTH SOLUTIONS OF RHODE ISLAND LLC
Psychiatry & Neurology (Psychiatry)
741 WESTMINSTER ST STE 204
PROVIDENCE, RI 02903
Providence County (833) 719-0886

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 James Mauldin's NPI number?

The NPI number for James Mauldin is 1619191012. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Where is James Mauldin located?

James Mauldin practices at 741 Westminster St Ste 204, Providence, RI 02903. The listed phone number is (702) 589-4871.

What is James Mauldin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is James Mauldin enrolled in Medicare?

Yes. James Mauldin 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.

Which organizations bill Medicare for James Mauldin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Mauldin reassigns Medicare benefits to 9 organizations: Behavioral Health Solutions Of Kansas LLC (Linwood, KS), Bhs Of Nebraska LLC (Omaha, NE), Colorado In-Home Counseling (Denver, CO), Behavioral Health Solutions Of Montana (Billings, MT), Interactionmatters, LLC (Albuquerque, NM) and 4 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for James Mauldin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Mauldin accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Nebraska, Harvard Pilgrim Health Care and Select Health list James Mauldin 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.

Is James Mauldin affiliated with any hospitals?

According to CMS data, James Mauldin is affiliated with Valley Hospital Medical Center and Henderson Hospital.

When was this NPI record last updated?

The NPPES record for James Mauldin was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.