Ellen JB Maxson, CBT

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

1815

Practice address

777 37TH St Ste B106
Vero Beach, FL 32960-7301

Phone

(772) 299-4325

Fax

(772) 998-7997

NPI assigned

Jul 14, 2007

Last updated

Jul 14, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184371200000",
    "number": "1073712592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 E 13TH SQ",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329602109",
            "telephone_number": "772-257-0300",
            "fax_number": "772-409-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 37TH ST STE B106",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607301",
            "telephone_number": "772-299-4325",
            "fax_number": "772-998-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXSON",
        "first_name": "ELLEN",
        "middle_name": "JB",
        "name_prefix": "Ms.",
        "credential": "CBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-14",
        "last_updated": "2007-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": "1815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Patricia Mattern, LCSW
• Matthew N Parris DC PA
• Sara Matthews, PA
• Michael Jon Mattice, M.D.
• Maxihealth Corp
• Jeff May
• Lori R. May, APRN
• Stephen T Maynard, ARNP
• Suzette Marie Maynard, ARNP
• Alison Mays, PT

• Other Technician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Other Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2007; 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.