NPIMap

Organization Active NPI

Rebecca H. Maxwell, MD, PA

  • Psychiatry Physician
  • Pearland, TX
National Provider Identifier
1528293305
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
L6519 Issued in TX
Legal business name
REBECCA H. MAXWELL, MD, PA
Practice address
2225 County Road 90
Suite 119
Pearland, TX 77584-4890
Phone
(713) 598-6265
Fax
(281) 485-9089
NPI assigned
May 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Authorized official

Name
Dr. Rebecca Helena Maxwell, M.D.NPI 1083634208
Title
Physician
Phone
(713) 598-6265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X L6519 TX Primary

Addresses

Primary practice location

2225 County Road 90
Suite 119
Pearland, TX 77584-4890

Mailing address

3518 Brandemere Dr
Pearland, TX 77584-9446
Phone (713) 598-6265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110406000538 TX Part B Supplier - Clinic/Group Practice 5597949131 Receives reassigned benefits from 7 practitioners
Practice locations: Pearland, TX

National Provider Directory

National Provider Directory

Locations

7501 Fite Rd
Pearland, TX 77584
Phone (281) 997-5515

8603 Broadway St
Ste 107
Pearland, TX 77584
Phone (281) 485-7777

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1528293305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 BRANDEMERE DR",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775849446",
            "telephone_number": "713-598-6265",
            "fax_number": "281-485-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 COUNTY ROAD 90",
            "address_2": "SUITE 119",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775844890",
            "telephone_number": "713-598-6265",
            "fax_number": "281-485-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA H. MAXWELL, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "HELENA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "713-598-6265",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "L6519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.