Max Edward Fuhrmann, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY11422 Issued in CA

Practice address

3625 E Thousand Oaks Blvd Ste 119
Westlake Village, CA 91362-3553

Phone

(805) 496-4442

Fax

(805) 373-6822

NPI assigned

Mar 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316079767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 E THOUSAND OAKS BLVD STE 119",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623553",
            "telephone_number": "805-496-4442",
            "fax_number": "805-373-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 E THOUSAND OAKS BLVD STE 119",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623553",
            "telephone_number": "805-496-4442",
            "fax_number": "805-373-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUHRMANN",
        "first_name": "MAX",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY114220",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Isabel Freitas
• Ronald Jay Friedman, M.D.
• Julie Rees Frumin, M.A., LMFT
• Katherine Fry, DPT
• Fueled Nutrition Therapy
• Manabu Fujita, M.D., PH.D.
• Mary E Fuller, MFT
• Donna Jean Funke, CRNA
• Sherry Anne Gaba, LCSW
• Sydney Gagnier

• Clinical Psychologist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.