Carol T. Maxfield, PH.D

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

011351 Issued in NY

Practice address

115 E 9TH St
Apt 2E
New York, NY 10003-5414

Phone

(917) 655-0533

Fax

(413) 528-6170

NPI assigned

Nov 8, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• New York University Medical Center

  • Psychiatry Physician
  • New York, NY
  • NPI 1235129800
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1447320700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012300221",
            "telephone_number": "917-655-0533",
            "fax_number": "413-528-6170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 9TH ST",
            "address_2": "APT 2E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100035414",
            "telephone_number": "917-655-0533",
            "fax_number": "413-528-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXFIELD",
        "first_name": "CAROL",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NY",
            "license": "011351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02785326",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naomi Max, MSW
• Peter Maxa, P.T.
• Abbey Maxbauer
• Maxem Medical, PC
• Ramez Maxemous, PHARM-D
• Roger A Maxfield, MD
• Maxillofacial Surgery of Ny PC
• Maxillofacial Surgery on Park PC
• Maxillofacial Surgical Arts of Manhattan, PC
• Maxim Care

• Clinical Neuropsychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Neuropsychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.