NPIMap

Organization Active NPI

Maxwell Psychological Services, Inc.

  • Clinical Psychologist
  • Burbank, CA
National Provider Identifier
1619519204
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MAXWELL PSYCHOLOGICAL SERVICES, INC.
Practice address
2121 W Magnolia Blvd
Burbank, CA 91506-1706
Phone
(818) 841-8215
NPI assigned
Oct 15, 2019
Last updated
Oct 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Authorized official

Name
Dr. Pamela J. Maxwell, PH.D.NPI 1659421006
Title
Psychologist
Phone
(818) 841-8215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X Primary

Addresses

Primary practice location

2121 W Magnolia Blvd
Burbank, CA 91506-1706

Mailing address

2121 W Magnolia Blvd
Burbank, CA 91506-1706
Phone (818) 841-8215

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Burbank Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1619519204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061706",
            "telephone_number": "818-841-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061706",
            "telephone_number": "818-841-8215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-841-8215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Burbank",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2121 W Magnolia Blvd",
            "city": "Burbank",
            "state": "CA",
            "country_code": "US",
            "postal_code": "915061706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.