Emily Claire Maxwell, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

0004801 Issued in CO

Practice address

10111 Inverness Main St Unit 417
Englewood, CO 80112-5727

Phone

(303) 200-4780

NPI assigned

Aug 6, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• New Peaks Neuropsychology, PLLC

  • Clinical Neuropsychologist
  • Boulder, CO
  • NPI 1083354633
  NPD (past)

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533513600000",
    "number": "1184102790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 INVERNESS MAIN ST UNIT 417",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 INVERNESS MAIN ST UNIT 417",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125727",
            "telephone_number": "303-200-4780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803025751",
            "country_code": "US",
            "telephone_number": "303-200-4780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "EMILY",
        "middle_name": "CLAIRE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CO",
            "license": "0004801",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CO",
            "license": "0004801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicola Maude, PHARMD
• Robert Marx Maulitz, M.D.
• Maura Stack Oden LLC
• Melissa Sue Maurer, LCSW
• Maxim Healthcare Services
• Hilary Maxwell
• Nicole May
• Jordan Paul Mayer, D.C.
• Stephanie Watson Mayer, M.D.
• Summer Mayes

• Clinical Neuropsychologist in Englewood, CO
• Providers in Englewood, CO by specialty
• Clinical Neuropsychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.