ANDRE DAVID MAXIE (NPI# 1437642949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437642949 |
| Entity Type | Individual |
| Full Name | ANDRE DAVID MAXIE |
| Credential | LMFT |
| Practice Address |
30722 Links Ct Temecula CA 92591-3946 |
| Practice Telephone | 9512954699 |
| Mailing Telephone | 9512954699 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 105950 | CA | Behavioral Health & Social Service Providers |
| Street Address |
30722 LINKS CT |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591-3946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992329528 | Tiffani Taft Marriage and Family Therapy Professional Corporation | Marriage & Family Therapist | 27412 Enterprise Cir W Ste 205, Temecula, CA 92590-4875 | 2020-05-29 |
| 1962023655 | Adventures of The Heart & Mind | Marriage & Family Therapist | 28364 Vincent Moraga Dr Ste Cd, Temecula, CA 92590-3656 | 2020-05-04 |
| 1285274134 | Leshea S Nock, Lmft | Marriage & Family Therapist | 33595 Abbey Rd, Temecula, CA 92592-5633 | 2020-01-08 |
| 1801447842 | Darien Elaine Dabe | Marriage & Family Therapist | 27349 Jefferson Ave Ste 111, Temecula, CA 92590-5610 | 2019-09-20 |
| 1609423029 | Jenna Tattersall | Marriage & Family Therapist | 32278 Calle Balareza, Temecula, CA 92592-3975 | 2019-08-20 |
| 1972079333 | Tiffani Taft Mft, Inc. | Marriage & Family Therapist | 43533 Ridge Park Dr Ste G, Temecula, CA 92590-3615 | 2018-10-23 |
| 1528551082 | Tracy Spears Enalen | Marriage & Family Therapist | 41200 Promenade Chardonnay Hls, Temecula, CA 92591-4977 | 2018-06-10 |
| 1497248231 | Christine Jennifer Kortenhoeven | Marriage & Family Therapist | 41911 5th St Ste 200, Temecula, CA 92590-2730 | 2018-06-06 |
| 1649783739 | Gilbert Marriage and Family Counseling Services, A Professional Corp. | Marriage & Family Therapist | 43460 Ridge Park Dr Ste 200-c, Temecula, CA 92590-5518 | 2017-11-10 |
| 1467821090 | James Mark Manley | Marriage & Family Therapist | 28999 Old Town Front St Ste 105, Temecula, CA 92590-2842 | 2015-09-24 |
| Find all providers in TEMECULA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.