Tyler C. Maxson, M.A.
NPI 1417399098ActiveIndividual· Psychologist, Clinical· Surprise, AZ
Psychologist, Clinical (M.A.) with Forte - Phoenix PLLC, practicing in Surprise, Arizona. Medicare paid $5,120 for services to 35 patients in 2024.
Overview
| NPI | 1417399098 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.A. |
| Sole proprietor | No |
| NPI issued | Jul 23, 2013 |
| Last updated in NPPES | Oct 7, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 4642 | AZ |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 56 across 4 procedure codes |
| Paid by Medicare | $5,120 |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Forte - Phoenix PLLCMesa, AZ · 13 clinicians
Other Psychologist, Clinical providers in Surprise
- 1003582552
- 1861227878
- 1528260676
- 1316359722
- 1306879754
- 1629510169
- 1528186335
- 1013985639
- 1699627455
- 1386382372
- 1962680173
- 1790065282