Individual provider Active NPI

Maxson John McDowell, L.M.S.W., L.P.

  • Psychoanalyst
  • New York, NY
National Provider Identifier
1821546557
Registry record updated Sep 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
License
000631-1 Issued in NY
Practice address
255 W 88TH St
Suite 9E
New York, NY 10024-1716
Phone
(917) 359-3948
Fax
(212) 280-1080
NPI assigned
Sep 11, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X 000631-1 NY Primary
Clinical Social Worker 1041C0700X 034983-1 NY

Addresses

Primary practice location

255 W 88TH St
Suite 9E
New York, NY 10024-1716

Mailing address

255 W 88TH St
Suite 9E
New York, NY 10024-1716
Phone (917) 359-3948

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
000631-1NYMDPsychoanalyst
034983-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1473552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473552000000",
    "number": "1821546557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W 88TH ST",
            "address_2": "SUITE 9E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241716",
            "telephone_number": "917-359-3948",
            "fax_number": "212-280-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W 88TH ST",
            "address_2": "SUITE 9E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100241716",
            "telephone_number": "917-359-3948",
            "fax_number": "212-280-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "MAXSON",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "L.M.S.W., L.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-11",
        "last_updated": "2016-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "000631-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "034983-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2016; 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.