Organization Active NPI

Max Maisel PHD, a Psychological Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sherman Oaks, CA
National Provider Identifier
1972146744
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MAX MAISEL PHD, A PSYCHOLOGICAL CORPORATION
Practice address
14011 Ventura Blvd Ste 203a
Sherman Oaks, CA 91423-5273
Phone
(213) 218-3080
NPI assigned
Oct 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Max Emanuel Maisel, PHDNPI 1174166946
Title
Clinical Psychologist
Phone
(213) 218-3080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

14011 Ventura Blvd Ste 203a
Sherman Oaks, CA 91423-5273

Mailing address

PO Box 1625
Studio City, CA 91614-0625
Phone (858) 449-9915

National Provider Directory

National Provider Directory

Locations

1910 W Sunset Blvd
Ste 440
Los Angeles, CA 90026
Phone (323) 379-3098

14011 Ventura Blvd
Ste 203A
Sherman Oaks, CA 91423
Phone (213) 218-3080

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1972146744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1625",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916140625",
            "telephone_number": "858-449-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14011 VENTURA BLVD STE 203A",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914235273",
            "telephone_number": "213-218-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX MAISEL PHD, A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "MAISEL",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "EMANUEL",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "213-218-3080",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.