Decidel Maxume

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

F406333-01 Issued in NY

Practice address

147 Elm St
Valley Stream, NY 11580-4913

Phone

(347) 965-1153

NPI assigned

Oct 15, 2024

Sex

Male

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 NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kings Medical Ny PCGroup PAC ID 3274026299, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kings Medical Ny PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1144192816

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Bluesky Medical PC

  • Psychologist
  • Brooklyn, NY
  • NPI 1952262438

  Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1972323814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 ELM ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804913",
            "telephone_number": "347-965-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 ELM ST",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115804913",
            "telephone_number": "347-965-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXUME",
        "first_name": "DECIDEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "NY",
            "license": "F406333-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yordanos Mathewos
• Martine Mathieu, RN
• Myrlene Mathieu
• Asna Matin, M.D.
• Virginia Matthews, MS.ED
• Smy Maxume
• Dalia Maxwell
• Martine Mbiaka
• Makini MC Pherson-Wyvener
• John T McCann, PHD

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.