MR. MAXIMILIAN MALAK BACCARAT MFTI
NPI 1528412608
Marriage & Family Therapist in San Francisco, CA

Q: What is Maximilian Baccarat's NPI number?

The NPI number for Maximilian Baccarat is 1528412608. It was assigned to this individual provider in the NPPES registry on April 14, 2016.

Q: What is Maximilian Baccarat's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since April 14, 2016PECOS EnrolledAccepts Medicare Assignment

684 ELLIS ST, SAN FRANCISCO, CA 94109(415) 409-4611 Get Directions Write a Review

NPPES record last updated: April 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Maximilian Malak Baccarat Mfti NPPES

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

MR. MAXIMILIAN MALAK BACCARAT MFTI (NPI 1528412608) is an individual marriage & family therapist in San Francisco, California, licensed in California (92470) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1528412608

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameMR. MAXIMILIAN MALAK BACCARATCredential: MFTI

Location Address684 ELLIS STSan Francisco, CA 94109-8090

Mailing Address3974 20th StSan Francisco, CA 94114-2907 · (415) 574-1943

Phone(415) 409-4611

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 14, 2016

✔ NPI 1528412608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 92470

Definition

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.

684 ELLIS ST, San Francisco, CA 94109

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Other Identifiers 1

Medicaid1720385032CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Maximilian Malak Baccarat Mfti is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668912346

PECOS Enrollment IDI20240909002819

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANJNA CHAMPANERI MSW

Counselor