Individual provider Active NPI

Maxwell Anderson Brooks, PSYD

  • Clinical Psychologist
  • Bethesda, MD
National Provider Identifier
1891264313
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
06186 Issued in MD
Practice address
7801 Norfolk Ave Ste 102
Bethesda, MD 20814-6059
Phone
(301) 684-5424
NPI assigned
Nov 14, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810-006038 VA
Clinical Psychologist 103TC0700X 06186 MD Primary

Addresses

Primary practice location

7801 Norfolk Ave Ste 102
Bethesda, MD 20814-6059

Mailing address

1800 Wilson Blvd Unit 330
Arlington, VA 22201-6606
Phone (617) 320-6190

Other practice location 1

707 Conservation Ln Ste 300
Gaithersburg, MD 20878-2983
Phone (301) 684-5424

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
06186MDMDClinical Psychologist
0810-006038VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1891264313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 WILSON BLVD UNIT 330",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222016606",
            "telephone_number": "617-320-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 NORFOLK AVE STE 102",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208146059",
            "telephone_number": "301-684-5424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Conservation Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Gaithersburg",
            "state": "MD",
            "postal_code": "208782983",
            "country_code": "US",
            "telephone_number": "301-684-5424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "MAXWELL",
        "middle_name": "ANDERSON",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-14",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810-006038",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; 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.