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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAXWELL JARED CHURCH CMT
NPI 1578849022
Rehabilitation Practitioner in Santa Rosa, CA

Active since October 28, 2011
100 CHILDRENS CIR, SANTA ROSA, CA 95409(707) 565-6300 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Maxwell Jared Church Cmt NPPES

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

MAXWELL JARED CHURCH CMT (NPI 1578849022) is an individual rehabilitation practitioner in Santa Rosa, California, licensed in (NONE) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1578849022
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameMAXWELL JARED CHURCHCredential: CMT
Location Address100 CHILDRENS CIRSanta Rosa, CA 95409-6558
Mailing Address100 Childrens CirSanta Rosa, CA 95409-6558
Phone(707) 565-6300
Sole ProprietorYes
Enumeration DateOctober 28, 2011
Last NPPES UpdateSeptember 10, 2026
NPPES CertifiedSeptember 10, 2026
✔ NPI 1578849022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
License✔ Licensed · NONE
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
100 CHILDRENS CIR, Santa Rosa, CA 95409
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Other Providers at the Same Location NPPES 5

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

MARISSA INGRAM
Day Training/Habilitation Specialist
100 CHILDRENS CIR
SANTA ROSA, CA 95409
Sonoma County (707) 565-6322
ALESSANDRA LOPEZ MEJIA
Rehabilitation Practitioner
100 CHILDRENS CIR
SANTA ROSA, CA 95409
Sonoma County (707) 565-6350
SARA M THOMPSON
Counselor (Mental Health)
100 CHILDRENS CIR
SANTA ROSA, CA 95409
Sonoma County (707) 565-6350
COUNTY OF SONOMA
Residential Treatment Facility, Emotionally Disturbed Children
100 CHILDRENS CIR
SANTA ROSA, CA 95409
Sonoma County (707) 565-6350
MS. SHELBY L. MEANS
Social Worker (Clinical)
100 CHILDRENS CIR
SANTA ROSA, CA 95409
Sonoma County (707) 565-8654

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 Maxwell Church's NPI number?

The NPI number for Maxwell Church is 1578849022. It was assigned to this individual provider in the NPPES registry on October 28, 2011.

Where is Maxwell Church located?

Maxwell Church practices at 100 Childrens Cir, Santa Rosa, CA 95409. The listed phone number is (707) 565-6300.

What is Maxwell Church's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Maxwell Church was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.