Nicole M Maximin-Joseph, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

13080 Issued in NY

Practice address

1490 William Floyd Pkwy
East Yaphank, NY 11967-1820

Phone

(631) 924-3741

Fax

(631) 924-2413

NPI assigned

Jan 28, 2008

Last updated

Jan 28, 2008By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1750568176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 WILLIAM FLOYD PKWY",
            "city": "EAST YAPHANK",
            "state": "NY",
            "postal_code": "119671820",
            "telephone_number": "631-924-3741",
            "fax_number": "631-924-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 WILLIAM FLOYD PKWY",
            "city": "EAST YAPHANK",
            "state": "NY",
            "postal_code": "119671820",
            "telephone_number": "631-924-3741",
            "fax_number": "631-924-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXIMIN-JOSEPH",
        "first_name": "NICOLE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "CASAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "13080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "13080",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doreen Lorraine Fratello, LMSW
• Tomas Gonzalez, LCSW-R
• Jennifer M Hovestadt-Molloy, MS CCC-SLP
• Nicole Ihrig
• Alison Lamonica, LCSW-R
• John James McGinley, MSW
• Tara Justine McHugh, LMSW
• Rosemary Menarchem, MS
• Harley R Norton
• Giavanna Nicole Pagnotta, OT

• Addiction (Substance Use Disorder) Counselor in East Yaphank, NY
• Providers in East Yaphank, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.