Active NPIIndividual providerSole proprietor

Dominic J Maxwell, MD

Psychiatry & Neurology, Psychiatry in Vineyard Haven, Massachusetts

NPI Number1134178106
Practice location
15 Church St, Vineyard Haven, MA 02568
Fax
508-687-9567
Last updated
June 23, 2011

Dominic J Maxwell is a Psychiatry & Neurology, Psychiatry based in Vineyard Haven, MA. Dominic J Maxwell practices in Vineyard Haven, MA and has the professional credentials of MD. The NPI Number for Dominic J Maxwell is 1134178106 and holds a License No. 00025983 (AL). The current practice location address for Dominic J Maxwell is 15 Church St, Vineyard Haven, MA 02568 and can be reached out via phone at 508-687-9592 and via fax at 508-687-9567.

Provider Profile Details

NPI Number
1134178106
Provider Name
Dominic J Maxwell
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15 Church St, Vineyard Haven, MA 02568
Phone Number
508-687-9592
Fax Number
508-687-9567
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Sole Proprietor
Yes
Provider Enumeration Date
May 8, 2006
Last Update Date
June 23, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Church St
Vineyard Haven, MA 02568
Zip
02568
Phone Number
508-687-9592
Fax Number
508-687-9567
Vineyard Haven, MA 02568Get directions →

Provider Business Mailing Address Details

Address
10 Canterbury Ln
Vineyard Haven, MA 02568-5658
City
Vineyard Haven
State
MA
Zip
02568-5658
Phone Number
508-687-9592
Fax Number
508-687-9567

License Information

License Number
00025983
License State
AL
Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dominic J Maxwell, MD?

The NPI number of Dominic J Maxwell, MD is 1134178106. It was assigned on May 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Dominic J Maxwell, MD?

Dominic J Maxwell, MD is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X), licensed in AL under license number 00025983.

Where does Dominic J Maxwell, MD practice?

The practice location is 15 Church St, Vineyard Haven, MA 02568. The office can be reached at 508-687-9592 (phone) or 508-687-9567 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134178106 directly on the NPPES registry website.

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