Individual provider Active NPI

James E Maxwell

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1740539436
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
077683 Issued in NY
Practice address
5676 Riverdale Ave Ste 202
Bronx, NY 10471-2100
Phone
(718) 796-5300
Fax
(718) 548-1161
NPI assigned
Sep 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 077683 NY Primary

Addresses

Primary practice location

5676 Riverdale Ave Ste 202
Bronx, NY 10471-2100

Mailing address

5676 Riverdale Ave Ste 202
Bronx, NY 10471-2100
Phone (718) 796-5300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040525001586 NY Practitioner - Clinical Social Worker 1052392156 Reassigns benefits to 2 organizations
Practice locations: Ardsley, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carmel Psychological Health PCGroup PAC ID 4385530351, 222 clinicians

Practice addresses (Care Compare)

1 Executive Blvd
Suite 178
Yonkers, NY 10701-6836
Phone (914) 595-1482

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Riverdale Mental Health Association Inc CurrentSince Aug 27, 2012 Accepting new patients
Riverdale Mental Health Association Inc CurrentSince Aug 27, 2012 Accepting new patients

Locations

5676 Riverdale Ave
Ste 202
Bronx, NY 10471
Phone 7187965300104

Interoperability endpoints

  • Direct secure messaging: cpa.jamesmaxwell@142175.advancedmd-direct.com

Organizations & group practices 3

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": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1740539436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5676 RIVERDALE AVE STE 202",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712100",
            "telephone_number": "718-796-5300",
            "fax_number": "718-548-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5676 RIVERDALE AVE STE 202",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712100",
            "telephone_number": "718-796-5300",
            "fax_number": "718-548-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "JAMES",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "077683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.