Active NPI
Rebecca Helena Maxwell, M.D.
- Psychiatry Physician
- Pearland, TX
National Provider Identifier
1083634208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- L6519
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8G7085 | Other | BLUE CROSS BLUE SHIELD | |
| 100228194 | Other | TX | AMERIGROUP |
| 182265201 | Medicaid | TX |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| L6519 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rebecca H. Maxwell, MD, PA | Psychiatry | Current | Accepting new patients |
| Emamefe Okinedo DMD PLLC | Past | 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
- 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.
-
- Psychiatry Physician
- Pearland, TX
- NPI 1528293305
-
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- Richmond, TX
- NPI 1629846878
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.