Alexander Maksymenko, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0066606 Issued in CO

Practice address

8565 Poplar Way
Highlands Ranch, CO 80130-3602

Phone

(720) 348-2800

NPI assigned

Aug 10, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Uhs of Denver, Inc.

  dba Highlands Behavioral Health System

  • Psychiatric Hospital
  • Littleton, CO
  • NPI 1326133216

  Multi-Specialty

  Medicare reassignment NPD
• Uhs of Denver, Inc.

  dba Highlands Behavioral Health System

  • Family Nurse Practitioner
  • Highlands Ranch, CO
  • NPI 1083227540

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1235654252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 S DALLAS CT",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801115348",
            "telephone_number": "720-217-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8565 POPLAR WAY",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801303602",
            "telephone_number": "720-348-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKSYMENKO",
        "first_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-10",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "305900",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "0066606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Kimberly Main, M.D.
• Lori Lee Main, RN
• Nicole Majerus
• Alice Jean Major, D.O.
• Rebecca Laurent Makowski
• Sarah Male
• Mathew Mancuso, DC
• Shantai Irene Mancuso, DC, BSC
• Kathleen D Mangnuson
• Manna Resource Center

• Psychiatry Physician in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.