MR. MAXWELL A. MILLER (NPI# 1326443698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326443698 |
| Entity Type | Individual |
| Full Name | MR. MAXWELL A. MILLER |
| Practice Address |
103 Commercial Street 2nd Floor Brockton MA 02302 |
| Mailing Address |
11 Riverwood Dr Mansfield MA 02048-1775 |
| Practice Telephone | 5085804691 |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2014-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358537 | Maxwell S Miller | Specialist/Technologist | 1021 Central Ave, Demorest, GA 30535-5252 | 2020-08-27 |
| 1083177091 | Maxwell Saul Miller | Student in an Organized Health Care Education/Training Program | 2100 Stantonsburg Rd, Greenville, NC 27834-2818 | 2019-04-08 |
| 1689019911 | Maxwell Daniel Miller | Emergency Medicine | 1550 N 115th St, Emergency Department, Seattle, WA 98133-8401 | 2013-04-30 |
| 1902114671 | Maxwell Stephen Miller | Dentist | 320 N Meridian St, Suite 808, Indianapolis, IN 46204-1719 | 2010-09-16 |
| 1366635641 | Maxwell Miller | Technician, Other | 474 W 200 N, Suite 100, St George, UT 84770-4505 | 2007-08-21 |
| Street Address |
103 COMMERCIAL STREET 2ND FLOOR |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326367855 | Tricia Karvounis | Social Worker | 103 Commercial Street, South Bay Mental Health, Brockton, MA 02302 | 2010-05-24 |
| 1619416161 | Marie Andre | Counselor | 103 Commercial Street, Brockton, TERRITORY 02301 | 2017-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222531 | Antoinett Gomes | Counselor | 11 Battles St Apt 3, Brockton, MA 02301-2236 | 2020-10-16 |
| 1316545510 | Leonard Paul Dagesse | Counselor | 51 Gladstone St, Brockton, MA 02302-3338 | 2020-10-12 |
| 1962014936 | Tjocelyne Counseling & Consulting Clinic LLC | Counselor | 425 Pleasant St Ste 102, Brockton, MA 02301-2533 | 2020-08-20 |
| 1841801461 | Peaceful Healing Soul Counseling Center, LLC | Counselor | 130 Spring St Apt 2, Brockton, MA 02301-4371 | 2020-08-17 |
| 1487271573 | Ruth Abraham Mentor | Counselor | 114 Sinclair Rd, Brockton, MA 02302-4451 | 2020-07-06 |
| 1508492661 | Carlos G Semedo | Counselor | 93 Myrtle St, Brockton, MA 02301-6139 | 2020-03-20 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1730724931 | Izaiah Dimanche-silva | Counselor | 5 Addison St, Brockton, MA 02301-1401 | 2019-11-12 |
| 1700427804 | Jessica Roberts | Counselor | 117 Colonel Bell Dr Apt 6, Brockton, MA 02301-1965 | 2019-10-01 |
| 1003460031 | Krista Hojlo | Counselor | 67 Brian Dr, Brockton, MA 02301-4601 | 2019-07-29 |
| Find all providers in BROCKTON | ||||
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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.