Maxwell Ross Shermoen

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

645 Camino Magnifico
San Marcos, CA 92069-7324

Phone

(714) 360-4505

NPI assigned

Feb 22, 2025

Last updated

Feb 22, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1740182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740182400000",
    "number": "1356147045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 CAMINO MAGNIFICO",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920697324",
            "telephone_number": "714-360-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 CAMINO MAGNIFICO",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920697324",
            "telephone_number": "714-360-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMOEN",
        "first_name": "MAXWELL",
        "middle_name": "ROSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-22",
        "last_updated": "2025-02-22",
        "certification_date": "2025-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janeay Sheppard
• Rikki Sher
• Sheri's Occupational Therapy Services
• Shane Sheridan, D.C.
• Steven J. Sherman, M.D.
• Chih-Wen Shi, MD
• Eric Shields, LVN
• Samantha Holbrook Shields, LMFT
• Ronald K Shimmin, M.D.
• Sinan Shisha, DMD

• Behavior Analyst in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.