KRISTIN MARIE MAKI PH.D.
NPI 1902008758
Psychologist - Clinical in Providence, RI

Active since June 04, 2007Opted out of Medicare · through Sep 1, 2027
235 PLAIN ST, SUITE 501, PROVIDENCE, RI 02905(401) 277-0701(401) 277-0744 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristin Marie Maki Ph.d. NPPES

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

KRISTIN MARIE MAKI PH.D. (NPI 1902008758) is an individual clinical provider in Providence, Rhode Island, licensed in Rhode Island (PS01012) and active in the NPI registry since June 2007. She has opted out of Medicare through September 1, 2027.

NPPES Registry Identity

NPI1902008758
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKRISTIN MARIE MAKICredential: PH.D.
Location Address235 PLAIN ST, SUITE 501Providence, RI 02905-3240
Mailing Address593 Eddy St, Apc 966Providence, RI 02903-4923 · (401) 277-0701 · Fax (401) 277-0744
Fax(401) 277-0744
Sole ProprietorNo
Enumeration DateJune 4, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1902008758 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 RI · PS01012
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.
235 PLAIN ST, Providence, RI 02905

Other Identifiers 1

OtherPS01012RI · Professional License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Kristin Marie Maki Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 1, 2021 through September 1, 2027.

Opt-Out Effective DateSeptember 1, 2021
Opt-Out In Effect ThroughSeptember 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Plastic Surgery
235 PLAIN ST, SUITE 203
PROVIDENCE, RI 02905
Plastic Surgery
235 PLAIN ST, SUITE 502
PROVIDENCE, RI 02905
Psychiatry & Neurology (Psychiatry)
235 PLAIN ST, SUITE 501
PROVIDENCE, RI 02905
Psychologist (Clinical)
235 PLAIN ST, SUITE 501
PROVIDENCE, RI 02905
Neurological Surgery
235 PLAIN ST
PROVIDENCE, RI 02905
Surgery (Plastic and Reconstructive Surgery)
235 PLAIN ST, SUITE 304
PROVIDENCE, RI 02905
Advanced Practice Midwife
235 PLAIN ST, SUTIE 401
PROVIDENCE, RI 02905
Obstetrics & Gynecology
235 PLAIN ST
PROVIDENCE, RI 02905

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 Kristin Maki's NPI number?

The NPI number for Kristin Maki is 1902008758. It was assigned to this individual provider in the NPPES registry on June 4, 2007.

Where is Kristin Maki located?

Kristin Maki practices at 235 Plain St Suite 501, Providence, RI 02905. The listed phone number is (401) 277-0701.

What is Kristin Maki's specialty?

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

Is Kristin Maki enrolled in Medicare?

No. Kristin Maki has opted out of Medicare through September 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristin Maki was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.