Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Michael Ray Maynard

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1205069812

Mr. Michael Ray Maynard is a Mental Health Counselor in Rancho Cucamonga, California. Qualified in 2020, 6 years ago. Practices with Ehab Yacoub MD Inc, a 175-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

7828 Day Creek Blvd Apt 131
Rancho Cucamonga, CA 91739-8570
Phone: (909) 438-0351
Fax: (909) 438-0351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 125 W F St, Ontario, CA 91762-3262 — (909) 986-4550

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence APCC9197 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1205069812
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 29, 2009
Last updated in NPPESOctober 3, 2022
Certification dateOctober 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ehab Yacoub Md Inc — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Rancho Cucamonga