Max Behavioral Health Outpatient

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MAX BEHAVIORAL HEALTH OUTPATIENT

Practice address

12026 S 44TH St
Phoenix, AZ 85044-2432

Phone

(331) 803-0822

NPI assigned

Mar 16, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Irene Basil Maseveriyo

Title

Manager

Phone

(331) 803-0822

Specialties & licenses 1

Addresses

Other names 1

• MAX BEHAVIORAL HEALTH OUTPATIENT Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1053069294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12026 S 44TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850442432",
            "telephone_number": "331-803-0822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12026 S 44TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850442432",
            "telephone_number": "331-803-0822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX BEHAVIORAL HEALTH OUTPATIENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "MASEVERIYO",
        "authorized_official_first_name": "IRENE BASIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "331-803-0822"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAX BEHAVIORAL HEALTH OUTPATIENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maverick Medical PLC
• Julie Ann Ty Mavez
• Megan Mavromatis
• Lee Ann Mawson
• Joseph R Mawyer, DO
• Max Care Center LLC
• Jennifer Maxey
• Aimee Maxfield, FNP-C
• Maxicare Home Health, Inc.
• Maxillofacial Surgical Consultants LTD

• Community/Behavioral Health Agency in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.