Maxcare Health and Residential Services LLC

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

2723 Issued in VA

Legal business name

MAXCARE HEALTH AND RESIDENTIAL SERVICES LLC

Practice address

13900 Cedar Creek Rd
Chesterfield, VA 23838

Phone

(804) 739-5902

NPI assigned

Sep 18, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Melvin Max OliverNPI 1326567678

Title

Program Director

Phone

(804) 366-7605

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melvin Max Oliver Sr.

  • Intellectual & Developmental Disabilities Psychologist
  • Chesterfield, VA
  • NPI 1326567678
  NPD Authorized official

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104345461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13900 CEDAR CREEK RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238381216",
            "telephone_number": "804-739-5902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 CEDAR CREEK RD",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "23838",
            "telephone_number": "804-739-5902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXCARE HEALTH AND RESIDENTIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OLIVER",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "804-366-7605",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "VA",
            "license": "2723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2723-01-001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia A Marshel
• Emily K Martin, LCSW
• Caroline Martineau, NP
• Rosa Maria Martinez, LCSW
• Joseph Charles Mason, MD
• Aric Anquain Mayo
• Sarah Mazooni
• Jasmine Mboe
• Nora McClung, R.N.
• Aundruletta Ikeka McCullough

• Intellectual & Developmental Disabilities Psychologist in Chesterfield, VA
• Providers in Chesterfield, VA by specialty
• Intellectual & Developmental Disabilities Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.