Charles David Maxey, M.A.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

5067 Issued in OR

Practice address

6950 SW Hampton St Ste 207
Portland, OR 97223-8234

Phone

(503) 928-4182

NPI assigned

Dec 25, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other names 1

• C. David Maxey Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Portland Psychological Services

  • Clinical Child & Adolescent Psychologist
  • Portland, OR
  • NPI 1699398792
  NPD Authorized official

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

{
    "created_epoch": "1419465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1306234489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 SW HAMPTON ST STE 207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238234",
            "telephone_number": "503-928-4182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 SW HAMPTON ST STE 207",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972238234",
            "telephone_number": "503-928-4182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXEY",
        "first_name": "CHARLES",
        "middle_name": "DAVID",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-25",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OR",
            "license": "5067",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "5067",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OR",
            "license": "5067",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OR",
            "license": "5067",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C. DAVID",
            "last_name": "MAXEY",
            "credential": "M.A.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Elizabeth Maurer, ND
• Mav Residential LLC
• Danielle Maveal
• Grace Mavromatis
• Kathleen Chandra Mawson, AUD
• Curtis W Maxey
• Maxim Healthcare Services, Inc.
• Karla Francely Maximo Gonzalez
• Kelsey Maxon
• Victoria Maxson

• Clinical Child & Adolescent Psychologist in Portland, OR
• Providers in Portland, OR by specialty
• Clinical Child & Adolescent Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.