NPIMap

Organization Active NPI

Maximum Performance, Inc.

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1699299982
Registry record updated Jul 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801018804 Issued in MI
Legal business name
MAXIMUM PERFORMANCE, INC.
Practice address
2725 Packard St
Suite 101
Ann Arbor, MI 48108
Phone
(734) 677-0200
Fax
(734) 677-3310
NPI assigned
Jul 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2017

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

Authorized official

Name
Josehns Silva Goncalves, LMSW, EDDNPI 1902197239
Title
Owner
Phone
(734) 677-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801018804 MI Primary

Addresses

Primary practice location

2725 Packard St
Suite 101
Ann Arbor, MI 48108

Mailing address

2195 Ardenne Drive
Ann Arbor, MI 48105
Phone (734) 677-0200

National Provider Directory

National Provider Directory
Tax ID family
J Silva Goncalves Ed D Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1501200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501200000000",
    "number": "1699299982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2195 ARDENNE DRIVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48105",
            "telephone_number": "734-677-0200",
            "fax_number": "734-677-3310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 PACKARD ST",
            "address_2": "SUITE 101",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-677-0200",
            "fax_number": "734-677-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIMUM PERFORMANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-28",
        "last_updated": "2017-07-28",
        "status": "A",
        "authorized_official_last_name": "GONCALVES",
        "authorized_official_first_name": "JOSEHNS",
        "authorized_official_middle_name": "SILVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-677-0200",
        "authorized_official_credential": "LMSW, EDD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801018804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2017; 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.