Susan Maxwell

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3550 N Goldenrod Rd
Winter Park, FL 32792-8823

Phone

(407) 725-0837

Fax

(866) 936-3829

NPI assigned

Jan 7, 2013

Last updated

Jun 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Florida Psychological & Associated Healthcare

  • Psychologist
  • Fernandina Beach, FL
  • NPI 1326419029
  NPD (past)
• Florida Psychological Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fernandina, FL
  • NPI 1922496850
  NPD (past)

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1477890713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 N GOLDENROD RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928823",
            "telephone_number": "407-725-0837",
            "fax_number": "866-936-3829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 N GOLDENROD RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928823",
            "telephone_number": "407-725-0837",
            "fax_number": "866-936-3829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1903 Island Walk Way",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320344797",
            "country_code": "US",
            "telephone_number": "904-277-0027",
            "fax_number": "407-867-6261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "5294",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Elizabeth Mattox, LM
• Karen Susanne Mattson, RN, IBCLC
• Maureen R. Traynor Enterprises, Inc. (Choices Counseling Center)
• Mauricio Chiropractic Clinics PA
• Maxine C Tabas MD PA
• Alison Martin May, ALISON MAY
• Mayascript, Inc. (Mayascript Pharmacy)
• Mayflower Home Health Agency, LLC
• Mayflower Retirement Center Inc. Dba Mayflower Healthcare Center
• Malinda Mayhood, PHARM.D.

• Counselor in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2024; 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.