Maxwell Behavioral Health

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MAXWELL BEHAVIORAL HEALTH

Practice address

120 Wards Ravine Way
St Johns, FL 32259-9398

Phone

(908) 670-5843

NPI assigned

Jun 26, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Jason Michael Puchalsky, LICSWNPI 1437817269

Title

Founder

Phone

(908) 670-5843

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jason Puchalsky, LICSW

  • Clinical Social Worker
  • Framingham, MA
  • NPI 1437817269
  NPD Authorized official

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1619865870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N TAMPA ST",
            "address_2": "STE 1550 PMB 928871",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 WARDS RAVINE WAY",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322599398",
            "telephone_number": "908-670-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXWELL BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "PUCHALSKY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "908-670-5843",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kanaklakshmi Masodkar, MD
• Michele Mason
• Stephany Matallana, PA
• Mary Stephens Mathis, PA-C
• Jennifer Sue Matthews, PA-C
• Erin Leigh Maxwell, PHARMD
• Gabriela May
• Sarah Mazza, DC
• Michael Mazzoni, PA-C
• Sarah Morgan McCroskey

• Mental Health Counselor in St Johns, FL
• Providers in St Johns, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.