Active NPI
Jeffrey E Max, M.D.
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1689610966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- C50120
- Practice address
- 200 W Arbor Dr
Mail Code 8201
San Diego, CA 92103-9001 - Phone
- (858) 966-5832
- Fax
- (858) 966-6733
- NPI assigned
- Jun 22, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | C50120 | CA | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | C50120 | AR |
Addresses
Primary practice location
200 W Arbor Dr
Mail Code 8201
San Diego, CA 92103-9001
Mailing address
3020 Childrens Way
Childrens' Hospital & Health Center - MC 5018
San Diego, CA 92123-4223
Phone (858) 966-5832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C501200 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 1, 2024 through May 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C50120 | AR | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1689610966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3020 CHILDRENS WAY",
"address_2": "CHILDRENS' HOSPITAL & HEALTH CENTER - MC 5018",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234223",
"telephone_number": "858-966-5832",
"fax_number": "858-966-6733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"address_2": "MAIL CODE 8201",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039001",
"telephone_number": "858-966-5832",
"fax_number": "858-966-6733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAX",
"first_name": "JEFFREY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-22",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "C50120",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "AR",
"license": "C50120",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C501200",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.