Vinessa Maxwell
Nurse Practitioner (Psychiatric/Mental Health)

Address: 6729 Myrtle Ave, Glendale, NY 11385-7063
Phone: 7184567001

Vinessa Maxwell (NPI# 1881214377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy Codes

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 Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health

Taxonomy Definition

Definition to come...

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Office Location

Street Address 6729 MYRTLE AVE
City GLENDALE
State NY
Zip Code 11385-7063

Providers in the same location

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
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Providers in the same zip code

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
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Competitor

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City GLENDALE
Zip Code 11385

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Dataset Information

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.