Active NPI
Maxine C Okafor, APRN, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Glendale, CA
National Provider Identifier
1710404306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 268777
- Practice address
- 401 N Brand Blvd Ste 834
Glendale, CA 91203-4451 - Phone
- (323) 568-1700
- Fax
- (323) 568-1700
- NPI assigned
- Aug 24, 2017
- Reactivated
- Jun 20, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP134780 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 95008984 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP134780 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 268777 | AZ | Primary |
Addresses
Primary practice location
401 N Brand Blvd Ste 834
Glendale, CA 91203-4451
Mailing address
1902 W Union Hills Dr Unit 41331
Phoenix, AZ 85080-4115
Phone (323) 568-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95008984 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Perfect Prescription Medical Services PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Rising Medical Group PLLC | Past | Accepting new patients |
Locations
1902 W Union Hills Dr
Unit 41331
Phoenix, AZ 85080
401 N Brand Blvd
Ste 834
Glendale, CA 91203
Phone (818) 480-4829
2031 John West Rd
Ste 107
Dallas, TX 75228
Phone (323) 568-1700
Interoperability endpoints
- lifestancehealth.maxineokafor@148377.advancedmd-direct.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Glendale, CA
- NPI 1508514233
TX
-
- General Practice Physician
- Glendale, AZ
- NPI 1972376283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1710404306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 W UNION HILLS DR UNIT 41331",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850804115",
"telephone_number": "323-568-1700",
"fax_number": "323-568-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N BRAND BLVD STE 834",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912034451",
"telephone_number": "323-568-1700",
"fax_number": "323-568-1700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKAFOR",
"first_name": "MAXINE",
"middle_name": "C",
"credential": "APRN, PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-24",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"deactivation_date": "2025-05-07",
"reactivation_date": "2025-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP134780",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "95008984",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP134780",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "268777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.