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MS. MAXINE LUZ VILLAVICENCIO PULLIAM
NPI 1376876490
Counselor in Irvine, CA

Active since September 08, 2009

NPPES record last updated: September 8, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Maxine Luz Villavicencio Pulliam NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MAXINE LUZ VILLAVICENCIO PULLIAM (NPI 1376876490) is an individual counselor in Irvine, California and active in the NPI registry since September 2009.

NPPES Registry Identity

NPI1376876490
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. MAXINE LUZ VILLAVICENCIO PULLIAM
Location Address22 CROCKETTIrvine, CA 92620-3331
Mailing Address22 CrockettIrvine, CA 92620-9262 · (650) 245-2516
Phone(650) 245-2516
Sole ProprietorNo
Enumeration DateSeptember 8, 2009
✔ NPI 1376876490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
22 CROCKETT, Irvine, CA 92620
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maxine Pulliam's NPI number?

The NPI number for Maxine Pulliam is 1376876490. It was assigned to this individual provider in the NPPES registry on September 8, 2009.

Where is Maxine Pulliam located?

Maxine Pulliam practices at 22 Crockett, Irvine, CA 92620. The listed phone number is (650) 245-2516.

What is Maxine Pulliam's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Maxine Pulliam was last updated on September 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.