Maxim

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MAXIM

Practice address

4301 S Pine St
Suite 505
Tacoma, WA 98409-7264

Phone

(253) 292-4354

Fax

(855) 373-4004

NPI assigned

Jun 26, 2014

Last updated

Jun 26, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Madison Umphres

Title

Individual Provider

Phone

(520) 429-5502

Specialties & licenses 1

Addresses

Tax ID family

Agape Behavioral Center72 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Palmetto General Hospital

  • Student in an Organized Health Care Education/Training Program
  • Tacoma, WA
  • NPI 1265964373
  NPD tax ID

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403740800000",
    "number": "1992110084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 S PINE ST",
            "address_2": "SUITE 505",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 S PINE ST",
            "address_2": "SUITE 505",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097264",
            "telephone_number": "253-292-4354",
            "fax_number": "855-373-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A",
        "authorized_official_last_name": "UMPHRES",
        "authorized_official_first_name": "MADISON",
        "authorized_official_title_or_position": "INDIVIDUAL PROVIDER",
        "authorized_official_telephone_number": "520-429-5502"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shamsa Z. Mawjee, M.D.
• Andrew Maxam, DO
• Leilani Ann Maxera, LCSW
• Maria Jewel Maxey
• Priscilla Elnora Maxey
• Maxim Healthcare Services
• Maxim Healthcare Services
• Maxim Healthcare Services, Inc
• Maxim Healthcare Services, Inc.
• Angela Lynn Maxwell, PT, DPT

• Community/Behavioral Health Agency in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.