Christina Marie Maxwell

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00286500 Issued in NJ

Practice address

786 Mountain Blvd Ste 104
Watchung, NJ 07069-6268

Phone

(908) 322-9623

NPI assigned

Sep 12, 2018

Last updated

Jan 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1720561178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 MOUNTAIN BLVD STE 104",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696268",
            "telephone_number": "908-322-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 MOUNTAIN BLVD STE 104",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696268",
            "telephone_number": "908-322-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00638900",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00286500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stanley Malkin
• Durgesh Mankikar, M.D.
• Jaman Maroni, M.D.
• Kirsten Marquez, RD, LD/N, CNSC
• Homar A Martinez, MD
• McAuley Hall Inc
• Maureen E. McCleery, OD
• Medexpress Urgent Care - Northern New Jersey, PC (MedExpress Urgent Care - Watchung)
• Joseph Rodrigo Mejia, D.O.
• Andree F. Mindnich

• Addiction (Substance Use Disorder) Counselor in Watchung, NJ
• Providers in Watchung, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.