Individual provider Active NPI

Maxwell Joseph Schoenfeld

  • Psychiatric/Mental Health Nurse Practitioner
  • Charlestown, MA
National Provider Identifier
1720845852
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2372881 Issued in MA
Practice address
9 Hancock St Apt 1
Charlestown, MA 02129-2515
Phone
(201) 312-5822
NPI assigned
Mar 5, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2372881 MA Primary

Addresses

Primary practice location

9 Hancock St Apt 1
Charlestown, MA 02129-2515

Mailing address

9 Hancock St Apt 1
Charlestown, MA 02129-2515
Phone (201) 312-5822

Other names 1

  • Mack Joseph Schoenfeld Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241016001997 MA Practitioner - Nurse Practitioner 1456883305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Center for Brain Health PLLCGroup PAC ID 8527334911, 7 clinicians

Practice addresses (Care Compare)

1101 Beacon St
Brookline, MA 02446-5587
Phone (617) 855-7288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Brain Health PLLC CurrentSince Sep 10, 2024 Accepting new patients
Center for Brain Health PLLC CurrentSince Sep 10, 2024 Accepting new patients

Locations

1101 Beacon St
Ste 8W
Brookline, MA 02446
Phone (617) 277-5510

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.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1720845852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HANCOCK ST APT 1",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021292515",
            "telephone_number": "201-312-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HANCOCK ST APT 1",
            "city": "CHARLESTOWN",
            "state": "MA",
            "postal_code": "021292515",
            "telephone_number": "201-312-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENFELD",
        "first_name": "MAXWELL",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2372881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACK",
            "last_name": "SCHOENFELD",
            "middle_name": "JOSEPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Charlestown, MA

Sources for this page

Verify at the official NPI Registry.