Individual provider Active NPI

Maxwell Schauermann, MD

  • Addiction Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1164087342
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
A177917 Issued in WA
Practice address
100 Pine St Ste 1250
San Francisco, CA 94111-5235
Phone
(833) 351-8255
NPI assigned
May 3, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A177917 CA
Addiction Psychiatry Physician 2084P0802X A177917 WA Primary

Addresses

Primary practice location

100 Pine St Ste 1250
San Francisco, CA 94111-5235

Mailing address

400 Union Avenue SE, Ste 200
Private Office 223
Olympia, WA 98501-2060

Other practice location 1

400 Union Ave SE Ste 200
Olympia, WA 98501-2060
Phone (646) 529-4256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, WA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240715002114 CA Practitioner - Psychiatry 5991164774 Reassigns benefits to 1 organization
I20240717004216 NY Practitioner - Psychiatry 5991164774 Reassigns benefits to 1 organization
I20240807004349 WA Practitioner - Psychiatry 5991164774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Loma Linda University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

400 Union Ave SE
Olympia, WA 98501-2059
Phone (833) 351-8255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A177917CAMDPsychiatry Physician
A177917WAMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Ca Psychiatry Services PC Psychiatry CurrentSince Aug 12, 2024 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Aug 12, 2024 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Jul 5, 2024 Accepting new patients

Locations

100 Pine St
Ste 1250
San Francisco, CA 94111
Phone (415) 390-5445

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

13555 SE 36th St
Ste 100
Bellevue, WA 98006

400 Union Ave SE
Olympia, WA 98501

400 Union Ave SE
Ste 200
Olympia, WA 98501
Phone (202) 375-4508

Interoperability endpoints

  • Direct secure messaging: mschauermann134922@direct.llu.edu

Organizations & group practices 3

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": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1164087342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 UNION AVENUE SE, STE 200",
            "address_2": "PRIVATE OFFICE 223",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PINE ST STE 1250",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941115235",
            "telephone_number": "833-351-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Union Ave SE Ste 200",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985012060",
            "country_code": "US",
            "telephone_number": "646-529-4256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAUERMANN",
        "first_name": "MAXWELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-03",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A177917",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "WA",
            "license": "A177917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.