MAXWELL BEHAVIORAL HEALTH NPI 1619865870

NPI Information

  • NPI: 1619865870
  • Provider Name: MAXWELL BEHAVIORAL HEALTH
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 120 WARDS RAVINE WAY
    ST JOHNS, FL
    ZIP 32259
  • Phone: (908) 670-5843

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NPI Details

MAXWELL BEHAVIORAL HEALTH is a mental health counselor in St Johns, FL. MAXWELL BEHAVIORAL HEALTH NPI is 1619865870. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

120 WARDS RAVINE WAY
ST JOHNS, FL
ZIP 32259-398
Phone: (908) 670-5843

The provider's authorized official is Jason Michael Puchalsky .
The authorized official title is Founder and has the following contact phone number (908) 670-5843.

The enumeration date for this NPI number is 6/26/2025 and was last updated on 6/26/2025.

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
1101YM0800XCounselorMental 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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