MAX-WELLNESS ADVANCED PSYCHIATRY PLLC NPI 1114835501

NPI Information

  • NPI: 1114835501
  • Provider Name: MAX-WELLNESS ADVANCED PSYCHIATRY PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 20 SUMMER ST STE 4
    STAMFORD, CT
    ZIP 06901
  • Phone: (914) 312-7063

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NPI Details

MAX-WELLNESS ADVANCED PSYCHIATRY PLLC is a psychiatric/mental health nurse practitioner in Stamford, CT. MAX-WELLNESS ADVANCED PSYCHIATRY PLLC NPI is 1114835501. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20 SUMMER ST STE 4
STAMFORD, CT
ZIP 06901-304
Phone: (914) 312-7063

The provider's authorized official is Maxwell Opoku Koranteng .
The authorized official title is Owner and has the following contact phone number (914) 312-7063.

The enumeration date for this NPI number is 8/28/2026 and was last updated on 8/28/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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