Maxim Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAXIM HEALTH LLC

Practice address

1531 S Grove Ave Unit 205
Barrington, IL 60010-5251

Phone

(817) 205-1622

NPI assigned

Aug 28, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Lacey Renee' Lemke, PSYD

Title

Owner, Chief Executive Officer

Phone

(817) 205-1622

Specialties & licenses 1

Addresses

Other names 1

• MAXIM Health Doing business as

Locations

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1982489019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 S GROVE AVE UNIT 205",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105251",
            "telephone_number": "817-205-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 S GROVE AVE UNIT 205",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105251",
            "telephone_number": "817-205-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "LEMKE",
        "authorized_official_first_name": "LACEY",
        "authorized_official_middle_name": "RENEE'",
        "authorized_official_title_or_position": "OWNER, CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "817-205-1622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "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": [
        {
            "organization_name": "MAXIM Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marvin J Rosser MD LTD
• Mary Ann Rosanova-Kaper, M.D., S.C.
• Mary Elizabeth Strain, PHD PLLC
• Mary Lee Fugina, M.D, S.C.
• Jennifer Lynne Matczak
• Amy Mazurek
• Claudia Mazzanti
• R. Guy MC Dermott, D.O.
• Virginia Marie McCarthy, LCSW
• Richard J McDonough, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Barrington, IL
• Providers in Barrington, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.