Maxine Mathis, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

23391 Issued in NY

Practice address

365 West 125TH Street
New York, NY 10027-2049

Phone

(347) 463-6872

NPI assigned

Jan 3, 2013

Last updated

Aug 19, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1568709053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 WEST 125TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100272049",
            "telephone_number": "347-463-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 WEST 125TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100272049",
            "telephone_number": "347-463-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "MAXINE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "23391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Mathieu, LMHC, NCC, BCCMLC
• Judith Emma Mathieu, MD
• Emily Jane Mathios, RD
• Cherray Mathis, CASAC-T COUNSELOR
• Klarisse Latrell Mathis, P.A.
• Noah Mathis, MD
• Sydney Mathis, MD
• Jakob Ferdinand Mathiszig-Lee, MBBS, FRCA
• Edward Robert Mathney, MD
• Charles Francis Mathon

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.