Major Impact Support Services, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

MAJOR IMPACT SUPPORT SERVICES, INC

Practice address

8875 Hidden River Pkwy
Tampa, FL 33637-1035

Phone

(239) 226-4357

Fax

(239) 226-4352

NPI assigned

May 16, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Clayton Lambert Major Sr., MSNPI 1609005883

Title

Co-Owner

Phone

(239) 822-8401

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Major Impact Support Services, Inc. Doing business as

Electronic endpoints 1

Tax ID family

Major Impact Support Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Major Impact Support Services, Inc

  • Community/Behavioral Health Agency
  • Fort Myers, FL
  • NPI 1093468274
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clayton Lambert Major Sr., MS

  • Mental Health Counselor
  • Fort Myers, FL
  • NPI 1609005883
  NPD Authorized official

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1952967887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 VELASCO ST STE J2",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162761",
            "telephone_number": "239-822-8472",
            "fax_number": "239-226-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8875 HIDDEN RIVER PKWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336371035",
            "telephone_number": "239-226-4357",
            "fax_number": "239-226-4352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 Velasco St Ste J2",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339162761",
            "country_code": "US",
            "telephone_number": "239-822-8472",
            "fax_number": "239-226-4352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAJOR IMPACT SUPPORT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "MAJOR",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "LAMBERT",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "239-822-8401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003799000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "cmajor@majorimpactsupportservices.org",
            "affiliation": "N",
            "address_1": "1960 Velasco St Ste J2",
            "city": "Fort Myers",
            "state": "FL",
            "country_code": "US",
            "postal_code": "339162761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Major Impact Support Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Ann Majchrowicz, MS CCC SLP
• Razan Majdalawi
• Muhammad Majid, MD
• Shazia Majid, MD
• Felicia Majkich
• Jessica Hannah Major, PA
• Regina R Major, ARNP
• Mak Medical LLC
• Sheila Shuk-Yin Mak, D.O.
• Rikesh Makanji, M.D.

• Case Management Agency in Tampa, FL
• Providers in Tampa, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.