Active NPI
David Adrian McCombs Maxey, PHD
- Clinical Psychologist
- Newark, NJ
National Provider Identifier
1215281027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 019284
- Practice address
- 168 Frontage Rd
Newark, NJ 07114-3721 - Phone
- (973) 465-0068
- NPI assigned
- Oct 31, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 019284 | NY | Primary |
| Clinical Psychologist | 103TC0700X | 35SI00492200 | NJ |
Addresses
Primary practice location
168 Frontage Rd
Newark, NJ 07114-3721
Mailing address
28 Maple St
Apt. 2
New Brunswick, NJ 08901-2214
Phone (609) 356-3287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00492200 | NJ | MD | Clinical Psychologist |
| 019284 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351641600000",
"number": "1215281027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 MAPLE ST",
"address_2": "APT. 2",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089012214",
"telephone_number": "609-356-3287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168 FRONTAGE RD",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071143721",
"telephone_number": "973-465-0068"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAXEY",
"first_name": "DAVID ADRIAN",
"middle_name": "MCCOMBS",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-31",
"last_updated": "2012-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "019284",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00492200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
- Corazon C Maurrasse, MD
- Susan George Mautone, M.D.
- Amanda Mavraj
- Lauren Mavus, OTR
- Maxcen Housing Society Inc., New Jersey Branch
- Maxicare Healthcare Services Inc
- Maxmath Tutoring Online, New Jersey Branch Inc. (MaxMath Home Health Care Agency of New Jersey)
- Leila Maybodi, MD
- Sharon Carlitha Mayers, NP
- Frances Rieth Maynard, FNP-BC PHD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.