CAROLYN MAXWELL (NPI# 1720120728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720120728 |
| Entity Type | Individual |
| Full Name | CAROLYN MAXWELL |
| Practice Address |
655 Camino De Los Mares Suite 120 San Clemente CA 92673-2809 |
| Mailing Address |
800 S Santa Anita Ave Arcadia CA 91006-6853 |
| Practice Telephone | 9494871015 |
| Mailing Telephone | 6262545000 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC 30682 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689274979 | Carolyn Lamar Maxwell | Speech-Language Pathologist | 2660 Oswell St Ste 121, Bakersfield, CA 93306-3154 | 2020-10-27 |
| 1811440266 | Carolyn Maxwell | Social Worker | 1490 E Main St, Columbus, OH 43205-2140 | 2016-08-02 |
| 1285051862 | Carolyn Kay Maxwell | Community Health Worker | 925 Highway V V, Kennett, MO 63857 | 2014-03-21 |
| 1780846808 | Carolyn Elizabeth Maxwell | Internal Medicine | 26 Research Way, East Setauket, NY 11733-3526 | 2008-06-30 |
| Street Address |
655 CAMINO DE LOS MARES SUITE 120 |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-2809 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174591994 | Navjyot Gujral | Internal Medicine | 655 Camino De Los Mares, 123, San Clemente, CA 92673-2809 | 2006-03-09 |
| 1720479272 | The Sober Spot, LLC | Chiropractor | 655 Camino De Los Mares, Suite 121, San Clemente, CA 92673 | 2015-02-05 |
| 1275886830 | Senior Care Medical Associates, Inc. | Family Medicine | 655 Camino De Los Mares, Suite 122, San Clemente, CA 92673-2809 | 2012-10-19 |
| 1447484910 | Debra Hetschel | Counselor | 655 Camino De Los Mares, #120, San Clemente, CA 92673-2809 | 2009-05-12 |
| 1588814677 | Pacific Clinics | Community/Behavioral Health | 655 Camino De Los Mares, 120, San Clemente, CA 92673-2809 | 2008-09-24 |
| 1699962423 | Michael Anthony Coppola Jr. | Chiropractor | 655 Camino De Los Mares, Suite 121, San Clemente, CA 92673-2809 | 2007-09-25 |
| 1568676260 | Sandra S Grifman | Marriage & Family Therapist | 655 Camino De Los Mares, #127, San Clemente, CA 92673 | 2007-05-10 |
| 1790902211 | Janet M Seymour | Psychologist | 655 Camino De Los Mares, Suite 127, San Clemente, CA 92673-2809 | 2007-04-18 |
| 1740405893 | Piper Ann Walsh | Psychologist | 655 Camino De Los Mares, Suite 127, San Clemente, CA 92673-2809 | 2007-04-16 |
| 1649302779 | Breanna Moskovitz | Counselor | 655 Camino De Los Mares, Suite 120, San Clemente, CA 92673-2809 | 2007-03-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| 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 |
|---|---|---|---|---|
| 1609476332 | Nicolette Gubicza | Marriage & Family Therapist | 60 Via Cartama, San Clemente, CA 92673-6998 | 2020-10-30 |
| 1841897725 | Wade Justin Denes | Marriage & Family Therapist | 1302 S El Camino Real # A-3, San Clemente, CA 92672-4290 | 2020-10-05 |
| 1396201083 | Danielle Nicole Portney | Marriage & Family Therapist | 647 Camino De Los Mares Ste 201, San Clemente, CA 92673-2807 | 2019-02-18 |
| 1063977593 | Morgan Taylor Osgood | Marriage & Family Therapist | 616 S El Camino Real Ste G8, San Clemente, CA 92672-4297 | 2019-02-08 |
| 1982120200 | Emmanuel Romero | Marriage & Family Therapist | 333 Calle Escuela, San Clemente, CA 92672-2108 | 2017-08-17 |
| 1932648409 | Debra J. Lee-moreno | Marriage & Family Therapist | 1108 Las Posas, San Clemente, CA 92673-4006 | 2017-02-17 |
| 1275983462 | Lisa Gaskin | Marriage & Family Therapist | 208 W Avenida Gaviota, San Clemente, CA 92672-5442 | 2016-06-17 |
| 1871961342 | Paul Van Zeumeren | Marriage & Family Therapist | 2715 Calle Del Comercio, Unit C, San Clemente, CA 92672 | 2015-09-14 |
| 1801278403 | Rima Danielle Jomaa | Marriage & Family Therapist | 229 Avenida Victoria, Apt 2, San Clemente, CA 92672-1917 | 2015-06-19 |
| 1427454636 | Marc Rosenberg | Marriage & Family Therapist | 3030 Calle Frontera, San Clemente, CA 92673-3009 | 2014-11-15 |
| Find all providers in SAN CLEMENTE | ||||
| City | SAN CLEMENTE |
| Zip Code | 92673 |
Please comment or provide details below to improve the information on CAROLYN MAXWELL.
| 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.