Vinessa Maxwell (NPI# 1881214377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider Identifier (NPI) | 1881214377 |
Entity Type | Individual |
Full Name | Vinessa Maxwell |
Credential | PMHNP-BC |
Gender | Female |
Practice Address |
6729 Myrtle Ave Glendale NY 11385-7063 |
Practice Telephone | 7184567001 |
Practice Fax Number | 7184569470 |
Mailing Address |
6729 Myrtle Ave Glendale NY 11385-7063 |
Mailing Telephone | 7184567001 |
Sole Proprietor | Yes, this individual is a Sole Proprietor |
Enumeration Date | 2020-04-24 |
Last Update Date | 2020-12-06 |
Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
---|---|---|---|---|---|
No | 163W00000X | Registered Nurse | Nursing Service Providers | 726066 | NY |
No | 163WP0807X | Registered Nurse · Psychiatric/Mental Health, Child & Adolescent | Nursing Service Providers | 726066 | NY |
No | 163WP0808X | Registered Nurse · Psychiatric/Mental Health | Nursing Service Providers | 726066 | NY |
Yes | 363LP0808X | Nurse Practitioner · Psychiatric/Mental Health | Physician Assistants & Advanced Practice Nursing Providers | F402910 | NY |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psychiatric/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477154573 | Marcus Jang | Nurse Practitioner | 1130 E Colorado St, Glendale, CA 91205-1697 | 2020-11-04 |
1245870799 | Logan Wellness Advanced Nursing Practice Corp | Nurse Practitioner | 655 N Central Ave # 1754, Glendale, CA 91203-1422 | 2020-01-13 |
1164901161 | Jesus Alexie Romero | Nurse Practitioner | 6266 W Blackhawk Dr, Glendale, AZ 85308-6798 | 2018-08-09 |
1194226928 | Adina Ramona Boros | Nurse Practitioner | 5625 W Bell Rd # 100, Glendale, AZ 85308-3878 | 2018-02-27 |
1780107433 | Mark Alan Logan | Nurse Practitioner | 107 1/2 N Columbus Ave, Glendale, CA 91203-2504 | 2017-07-24 |
1740702901 | Barbara Browder | Nurse Practitioner | 17505 N Glendale Ave, Glendale, AZ 85308 | 2017-07-10 |
1710413208 | Jhaurel Johnson White | Nurse Practitioner | 1510 S Central Ave Ste 600, Glendale, CA 91204-2548 | 2017-05-03 |
1508227687 | Lydia Christine Veratti | Nurse Practitioner | 17505 N 79th Ave Ste 203, Glendale, AZ 85308-8726 | 2016-03-16 |
1336536960 | Eric Tubat | Nurse Practitioner | 10329 W Montebello Ave, Glendale, AZ 85307-4313 | 2015-04-21 |
1760775837 | Susan E Harrell | Nurse Practitioner | 10270 N 67 Ave, Suite 106, Glendale, AZ 85302-1005 | 2011-05-24 |
Find all providers in GLENDALE |
Street Address |
6729 MYRTLE AVE |
City | GLENDALE |
State | NY |
Zip Code | 11385-7063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518983725 | Giovanni Forcina | Social Worker | 6729 Myrtle Ave, Glendale, NY 11385-7063 | 2006-07-14 |
1700486875 | Caitlin Elizabeth Quinn | Social Worker | 6729 Myrtle Ave, Glendale, NY 11385-7063 | 2020-10-28 |
1730705757 | Edward Chan | Social Worker | 6729 Myrtle Ave, Glendale, NY 11385-7063 | 2020-06-25 |
1376168872 | Noreen Mamoor | Counselor | 6729 Myrtle Ave, Glendale, NY 11385-7063 | 2020-06-10 |
1679192074 | Nadine Tricia-marie George | Social Worker | 6729 Myrtle Ave, Glendale, NY 11385-7063 | 2020-04-15 |
1487214680 | Dina Derilas | Counselor | 6729 Myrtle Ave, Glendale, NY 11385-7063 | 2019-06-19 |
1861959264 | Amy C.h Liss | Social Worker | 6729 Myrtle Ave, Glendale, NY 11385-7063 | 2019-02-22 |
1750855144 | Christina Adrien | Counselor | 6729 Myrtle Ave, Glendale, NY 11385-7063 | 2019-01-18 |
1912489204 | Mariah Carroll Hallbilsback | Counselor | 6729 Myrtle Ave, Glendale, NY 11385-7063 | 2018-09-03 |
1265919930 | Natalia Irena Mecinska | Social Worker | 6729 Myrtle Ave, Glendale, NY 11385-7063 | 2018-07-25 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
1467955385 | Av Chemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
Find all providers in zip 11385 |
Please comment or provide details below to improve the information on Vinessa Maxwell.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.