Individual provider Active NPI

Rebecca Helena Maxwell, M.D.

  • Psychiatry Physician
  • Pearland, TX
National Provider Identifier
1083634208
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L6519 Issued in TX
Practice address
3518 Brandemere Dr
Pearland, TX 77584-9446
Phone
(713) 598-6265
Fax
(281) 485-9089
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X L6519 TX Primary

Addresses

Primary practice location

3518 Brandemere Dr
Pearland, TX 77584-9446

Mailing address

3626 Miraglen Dr
Suite 119
Pearland, TX 77584-9055
Phone (713) 598-6265

Other identifiers 3

IdentifierTypeStateIssuer
8G7085OtherBLUE CROSS BLUE SHIELD
100228194OtherTXAMERIGROUP
182265201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000435 TX Practitioner - Psychiatry 6204832512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Baylor College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rebecca H. Maxwell, MD, PAGroup PAC ID 5597949131, 5 clinicians

Practice addresses (Care Compare)

7501 Fite Rd
Pearland, TX 77584-1026
Phone (281) 997-5515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L6519TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca H. Maxwell, MD, PA Psychiatry CurrentSince Oct 21, 2010 Accepting new patients
Emamefe Okinedo DMD PLLC PastSince Mar 8, 2025 Accepting new patients

Locations

7501 Fite Rd
Pearland, TX 77584
Phone (281) 997-5515

30903 Quinn Rd
Tomball, TX 77375
Phone (281) 351-6644

Interoperability endpoints

  • Direct secure messaging: rebecca.maxwell.1@18773.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1083634208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3626 MIRAGLEN DR",
            "address_2": "SUITE 119",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849055",
            "telephone_number": "713-598-6265",
            "fax_number": "281-485-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 BRANDEMERE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849446",
            "telephone_number": "713-598-6265",
            "fax_number": "281-485-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "REBECCA",
        "middle_name": "HELENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L6519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8G7085",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "100228194",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182265201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.