Individual provider Active NPI

Erin Anderson Maksym

  • Behavior Analyst
  • Strongsville, OH
National Provider Identifier
1689172041
Registry record updated Feb 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-17-28325 Issued in OH
Practice address
16000 Pearl Rd Ste 208
Strongsville, OH 44136-6082
Phone
(216) 375-4391
NPI assigned
Jan 31, 2018
Last updated
Feb 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-17-28325 OH Primary

Addresses

Primary practice location

16000 Pearl Rd Ste 208
Strongsville, OH 44136-6082

Mailing address

16000 Pearl Rd Ste 208
Strongsville, OH 44136-6082
Phone (440) 253-9383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Awaken Behavioral Services LLC Behavior Analyst CurrentSince Feb 6, 2022 Accepting new patients

Locations

16000 Pearl Rd
Ste 208
Strongsville, OH 44136
Phone (216) 375-4391

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1689172041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16000 PEARL RD STE 208",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366082",
            "telephone_number": "440-253-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16000 PEARL RD STE 208",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441366082",
            "telephone_number": "216-375-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON MAKSYM",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2022-02-02",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "1-17-28325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.