Maxine Yvonne Anderson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

31814 Haleblian Rd
Menifee, CA 92584-7487

Phone

(310) 920-8932

NPI assigned

Oct 1, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Interoperability endpoints

• Direct secure messaging: manderson@ochca.com

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1770255358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31814 HALEBLIAN RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847487",
            "telephone_number": "310-920-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31814 HALEBLIAN RD",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847487",
            "telephone_number": "310-920-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MAXINE",
        "middle_name": "YVONNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Manderson@ochca.com",
            "affiliation": "N",
            "endpointDescription": "Freeform narrative that provides information on the Endpoint",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "31814 Haleblian Rd",
            "city": "Menifee",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925847487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Odily Alvarado, PHARMD
• Ronald Alvarado, A.S.,CADC II/ICADC
• Edwin Haroldo Alvarez, PAC
• Dilyana Gancheva Aly, D.P.T.
• Amegtrans
• Donna Fe Andico
• Berwyn Liselle Calingacion Ang, PHARMD
• Daniel Angulo
• Irene Irlanda Angulo
• Annointed Health Service, LLC

• Mental Health Counselor in Menifee, CA
• Providers in Menifee, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.