Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093159386 Individual Practitioner Female Practitioner

Maylene April Johnson , MA

Psychologist - Intellectual & Developmental Disabilities • Centennial, CO

Professional Overview & Biography Verified Profile Summary

Maylene Johnson, MA is a registered healthcare professional specializing in Psychologist - Intellectual & Developmental Disabilities in Centennial, CO. Practice services are available at 6482 S QUEBEC ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6482 S Quebec St

Centennial, CO 801114628

Telephone 9706148808

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Intellectual & Developmental Disabilities in Centennial, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 32.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Centennial, CO (17 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-08
Psychologist - Intellectual & Developmental Disabilities Primary Specialty

NUCC Taxonomy Code: 103TM1800X

State License CO 12273

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 08, 2025

Registered at 6482 S QUEBEC ST, CENTENNIAL, CO 801114628 (Tel: 9706148808)

📍
Updated Business Mailing Address May 08, 2025

Registered at 6482 S QUEBEC ST, CENTENNIAL, CO 801114628 (Tel: 9706148808)

👤
Provider Name / Credentials Updated May 08, 2025

Recorded as MAYLENE JOHNSON, M.A.

NPI Profile Active April 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2013

Registered at 4441 S XERIC WAY, DENVER, CO 802372529 (Tel: 7203412324)

📍
Updated Business Mailing Address April 17, 2013

Registered at 4441 S XERIC WAY, DENVER, CO 802372529 (Tel: 7203412324)

👤
Provider Name / Credentials Updated April 17, 2013

Recorded as MAYLENE VISAYA, M.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2013

Psychologist (License #12273 in CO)

🟢
Initial NPI Registration & Enumeration April 17, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093159386
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2013
Last Update: May 08, 2025
Sole Proprietor: Yes

Mailing Address

6482 S Quebec St

Centennial, CO 801114628

Phone: 9706148808

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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