Maverick Behavioral Health

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAVERICK BEHAVIORAL HEALTH

Practice address

425 Westpark Way Ste 300
Euless, TX 76040-3751

Phone

(888) 385-2051

NPI assigned

Apr 21, 2025

Last updated

Aug 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jason Gooberman

Title

Member

Phone

(856) 449-6159

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1710774138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 WESTPARK WAY STE 103",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 WESTPARK WAY STE 300",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403751",
            "telephone_number": "888-385-2051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVERICK BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "GOOBERMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "856-449-6159"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard Manu, PHARMD
• David R Martin, M.D.
• Francis Kevin Mascarenhas, MD
• Rushi Bhupendra Master, D.D.S.
• Dillon Koshy Mathew, PA C
• Charles T Maxvill Jr., DO
• Maya Behavioral Health LLC
• Maya Health Services LLC (Maya Healthcare Clinic)
• Rebeca Mayol-Sharp, M.D.
• Stephanie Mbah, APRN FNP-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Euless, TX
• Providers in Euless, TX by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.