ANDREA MAXWELL (NPI# 1669869319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669869319 |
| Entity Type | Individual |
| Full Name | ANDREA MAXWELL |
| Credential | L.M.H.C. |
| Practice Address |
425 Watertown St Newton MA 02458-1131 |
| Practice Telephone | 6179692200 |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
000009197 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962938100 | Andrea Maxwell | Behavior Technician | 5853 Pecan Rd, Ocala, FL 34472-6246 | 2017-05-09 |
| 1801255278 | Andrea Maxwell | Counselor | 445 Ledyard St, Detroit, MI 48201-2641 | 2016-02-15 |
| 1770844672 | Andrea Maxwell | Internal Medicine | 3400 Spruce St, Philadelphia, PA 19104-4206 | 2012-06-06 |
| 1508043191 | Andrea Marie Maxwell | Nurse Practitioner | 150 Clinic Ave, Suite 101, Carrollton, GA 30117-4401 | 2008-01-25 |
| 1871670034 | Andrea L. Maxwell | Psychiatry & Neurology | 109 Bee St, S-116, Charleston, SC 29401-5703 | 2006-11-01 |
| Street Address |
425 WATERTOWN ST |
| City | NEWTON |
| State | MA |
| Zip Code | 02458-1131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043278781 | Jessica Capone | Counselor | 425 Watertown St, Newton, MA 02458-1131 | 2006-05-03 |
| 1376081091 | Steven Johnson | Counselor | 425 Watertown St, Newton, MA 02458-1131 | 2017-02-01 |
| 1811398019 | Mary Marguerite Ripple | Social Worker | 425 Watertown St, Newton, MA 02458-1131 | 2014-09-08 |
| 1922372325 | Megan Killeen | Social Worker | 425 Watertown St, Newton, MA 02458-1131 | 2012-03-02 |
| 1538477765 | Kristin Lee France | Counselor | 425 Watertown St, Newton, MA 02458-1131 | 2010-09-22 |
| 1134246309 | The Academy of Physical and Social Development | Community/Behavioral Health | 425 Watertown St, R, Newton, MA 02458-1131 | 2007-03-23 |
| 1649329897 | Kristen L. Keefe | Counselor | 425 Watertown St, The Academy of Physical and Social Development, Newton, MA 02458-1131 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372136 | Marie Beh Buckhout | Chiropractor | 517 Washington Street, Newton, MA 02458 | 2020-10-07 |
| 1619583168 | Newton Wellesley Dental Group LLC | Clinic/Center | 447 Centre Street, Same, Newton, MA 02458 | 2020-09-21 |
| 1083179220 | Leslie Gary Brody | Social Worker | 35 Buswell Park, Newton, MA 02458 | 2019-02-01 |
| 1114499043 | Anne Irene Vermeulen | Health Educator | 55 Chapel Street, Suite 300, Newton, MA 02458 | 2018-12-17 |
| 1669957023 | Marla Rutenberg | Social Worker | 4 Cotton Street, Newton, MA 02458 | 2018-10-01 |
| 1104339787 | Stephanie Chancey | Counselor | 425 Watertown Street, The Academy, Newton, MA 02458 | 2017-11-06 |
| 1356886485 | Elizabeth Woodruff | Social Worker | 77 Warren St. Building #9, Brighton, MA 02458 | 2016-12-28 |
| 1346618519 | Jessica Farnsworth Kruss | Counselor | 425 Rear Watertown St., Newton, MA 02458 | 2015-09-04 |
| 1043631591 | Judith Sheolie Fernando | Psychiatry & Neurology | 313 Washington Street Newton, Newton, MA 02458 | 2014-01-01 |
| 1861830887 | Allison L. Phillips | Social Worker | 64 Eldredge St., Newton, MA 02458 | 2013-06-12 |
| Find all providers in zip 02458 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376157784 | Avi Cohen | Counselor | 8 Mount Ida St Apt 2, Newton, MA 02458-1986 | 2020-09-02 |
| 1457977506 | Jonah E Naghi | Counselor | 659 Beacon St, Newton, MA 02459-2003 | 2020-06-24 |
| 1558981928 | Jacquelyn Macdougall | Counselor | 1155 Walnut St Ste 32, Newton, MA 02461-1271 | 2020-04-25 |
| 1962036046 | A New Outlook Counseling Services, Pllc | Counselor | 1048 Harper Lee Dr, Newton, NC 28658-9203 | 2020-02-27 |
| 1639722051 | Veronica Mae Carney | Counselor | 425r Watertown St, Newton, MA 02458-1113 | 2019-07-24 |
| 1649741307 | Joseph Allen Jr. | Counselor | 223 Needham Street, Newton, MA 02460 | 2018-12-06 |
| 1770065633 | Eriny Agban | Counselor | 223 Needham St, Newton, MA 02464 | 2018-09-06 |
| 1437667631 | Shirelle J Rhodes | Counselor | 233 Needham St Ste 511, Newton, MA 02464-1573 | 2018-01-22 |
| 1104339787 | Stephanie Chancey | Counselor | 425 Watertown Street, The Academy, Newton, MA 02458 | 2017-11-06 |
| 1730608100 | Nicole M La Camera | Counselor | 39 Chestnut Terrace, Newton, MA 02459 | 2017-09-16 |
| Find all providers in NEWTON | ||||
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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.