DR. JESSIE M MAYNARD LP, PSYD, CAADC
NPI 1710126750
Psychologist - Clinical in Haslett, MI

Q: What is Jessie Maynard's NPI number?

The NPI number for Jessie Maynard is 1710126750. It was assigned to this individual provider in the NPPES registry on February 15, 2009.

Q: What is Jessie Maynard's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessie Maynard was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 February 15, 2009PECOS Enrolled

1199 TEAKWOOD CIR, HASLETT, MI 48840(202) 630-2790 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2025, Aug 16, 2016 (2 updates tracked since 2016).

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About Dr. Jessie M Maynard Lp, Psyd, Caadc NPPES

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

DR. JESSIE M MAYNARD LP, PSYD, CAADC (NPI 1710126750) is an individual clinical provider in Haslett, Michigan, licensed in Michigan (6301015286) and active in the NPI registry since February 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710126750

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JESSIE M MAYNARDCredential: LP, PSYD, CAADC

Location Address1199 TEAKWOOD CIRHaslett, MI 48840-9734

Mailing Address1199 Teakwood CirHaslett, MI 48840-9734 · (202) 630-2790

Phone(202) 630-2790

Sole ProprietorYes

Enumeration DateFebruary 15, 2009

Last NPPES UpdateMay 12, 20252 updates tracked since enumeration

NPPES CertifiedMay 12, 2025

✔ NPI 1710126750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301015286

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C-00917 (MI)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6301015286 (MI)

Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X · License 6301015286 (MI)

1199 TEAKWOOD CIR, Haslett, MI 48840

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jessie M Maynard Lp, Psyd, Caadc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Jessie Maynard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Downriver Mental Health Clinic PC

33 mi

Psychologist

7600 GRAND RIVER RD, SUITE 290
Brighton, MI 48114

Reassigned Medicare billing, Michigan enrollment
451 clinicians in this Medicare group

NPI 1225165715 (810) 220-2787

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48840 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

$166.68 typical visit price

range $54.34 – $166.68

Typical copayment $41.67 (range $13.58 – $41.67)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

SYNAPTIC WAY PLC

Clinic/Center (Adult Mental Health)

1199 TEAKWOOD CIR
HASLETT, MI 48840

Ingham County (202) 630-2790

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 Jessie Maynard's NPI number?

The NPI number for Jessie Maynard is 1710126750. It was assigned to this individual provider in the NPPES registry on February 15, 2009.

Where is Jessie Maynard located?

Jessie Maynard practices at 1199 Teakwood Cir, Haslett, MI 48840. The listed phone number is (202) 630-2790.

What is Jessie Maynard's specialty?

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

Is Jessie Maynard enrolled in Medicare?

Yes. Jessie Maynard is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessie Maynard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessie Maynard reassigns Medicare benefits to Downriver Mental Health Clinic PC (Brighton, MI). The 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 Jessie Maynard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessie Maynard accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jessie Maynard 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 Jessie Maynard was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.