Madlena Maximova, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT35759 Issued in CA

Practice address

91 Gregory LN Ste 20
Pleasant Hill, CA 94523-4925

Phone

(925) 813-9273

NPI assigned

Jan 18, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: madlenamaximova@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Marriage & Family Therapist

  NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104979889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23882",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945230882",
            "telephone_number": "925-813-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 GREGORY LN STE 20",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234925",
            "telephone_number": "925-813-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXIMOVA",
        "first_name": "MADLENA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT35759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL",
            "identifier": "09071",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "MFT00700P",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "294597",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Danielle Masi, MPT, OCS, ATC
• Don Lyle Mathews, MFT
• Gilbert M. Matsuoka, O.D.
• Marilyn J Mattson, CMT, BFA
• Sara Lyn Mauricio
• Maureen Nnene Mbadike-Obiora, M.D.
• Veronica Shuan MC Manus
• Robin Elizabeth McBride, RPA-C, CGC
• Angela McCracken, D.C
• Marisha Noella McGehee

• Marriage & Family Therapist in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.