Maxine S Sousa-Correia, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT86697 Issued in CA

Practice address

2101 Geer Rd Ste 304
Turlock, CA 95382-2471

Phone

(209) 678-5871

Fax

(209) 620-8298

NPI assigned

Nov 2, 2008

Last updated

Jul 29, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Marriage and Family Therapist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of StanislausGroup PAC ID 0648183996, shared by 8 NPIs, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Stanislaus

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1023681301
  Medicare reassignment NPD
• County of Stanislaus

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1154524445
  Medicare reassignment NPD
• County of Stanislaus

  dba Stanislaus County Health Services Agency Turlock Medical Office

  • Clinic/Center
  • Turlock, CA
  • NPI 1831394998
  Medicare reassignment NPD
• County of Stanislaus

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1578691903
  NPD
• County of Stanislaus

  • Community/Behavioral Health Agency
  • Modesto, CA
  • NPI 1902765993
  NPD

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

{
    "created_epoch": "1225584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1851544928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 ENCLAVE DR",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953827418",
            "telephone_number": "209-678-5871",
            "fax_number": "209-620-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 GEER RD STE 304",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822471",
            "telephone_number": "209-678-5871",
            "fax_number": "209-620-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUSA-CORREIA",
        "first_name": "MAXINE",
        "middle_name": "S",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-02",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT86697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joginder Soni, M.D.
• Rafael R Soria, MD
• Zaidee Soriano
• Shabnam Sorooshiani, DMD
• Dezirae Soto
• Brittni Souza
• Specialty Medical Group Central California - Dept of Emanuel
• Thomas Kirk Sperry, RPH
• Amari Spicer
• Stephen Spiegel

• Marriage & Family Therapist in Turlock, CA
• Providers in Turlock, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.