Active NPI
Maxim Kramer, PHD
- Clinical Psychologist
- Visalia, CA
National Provider Identifier
1821011438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 23847
- Practice address
- 4126 S Demaree St Ste B
Visalia, CA 93277-9550 - Phone
- (559) 656-3812
- NPI assigned
- Jul 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 013359 | NY | |
| Clinical Psychologist | 103TC0700X | 23847 | CA | Primary |
Addresses
Primary practice location
4126 S Demaree St Ste B
Visalia, CA 93277-9550
Mailing address
1500 Mirasson Ave
Tulare, CA 93274-0894
Phone (559) 656-3812
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02639467 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013359 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MHSP,Inc | Clinical | Past | Accepting new patients |
| Federation Employment and Guidance Service, Inc | Past | Accepting new patients | |
| Knapp Street Psychiatry, PC | Clinical | Past | Accepting new patients |
| Che Senior Psychological Services, PC | Clinical | Past | Accepting new patients |
| Montefiore Medical Center | Past | Accepting new patients |
Organizations & group practices 5
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.
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- Clinical Psychologist
- Brooklyn, NY
- NPI 1023078219
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1942243084
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1043248776
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023049723
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1821011438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 MIRASSON AVE",
"city": "TULARE",
"state": "CA",
"postal_code": "932740894",
"telephone_number": "559-656-3812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4126 S DEMAREE ST STE B",
"city": "VISALIA",
"state": "CA",
"postal_code": "932779550",
"telephone_number": "559-656-3812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAMER",
"first_name": "MAXIM",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "013359",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "23847",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02639467",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.