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MAXWELL BEHAVIORAL HEALTH
NPI 1619865870
Counselor - Mental Health in St Johns, FL

Active since June 26, 2025
120 WARDS RAVINE WAY, ST JOHNS, FL 32259(908) 670-5843 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maxwell Behavioral Health NPPES

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

MAXWELL BEHAVIORAL HEALTH (NPI 1619865870) is a healthcare organization registered as a mental health in St Johns, Florida and active in the NPI registry since June 2025. The organization lists Jason Michael Puchalsky, Founder, as its authorized official.

NPPES Registry Identity

NPI1619865870
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMAXWELL BEHAVIORAL HEALTH
Location Address120 WARDS RAVINE WAYSt Johns, FL 32259-9398
Mailing Address400 N Tampa St, Ste 1550 Pmb 928871Tampa, FL 33602-4719
Phone(908) 670-5843
Organization SubpartNo
Authorized OfficialJason Michael PuchalskyFounder · (908) 670-5843
Enumeration DateJune 26, 2025
NPPES CertifiedJune 26, 2025
✔ NPI 1619865870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
120 WARDS RAVINE WAY, St Johns, FL 32259
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Behavioral Health's NPI number?

The NPI number for Maxwell Behavioral Health is 1619865870. It was assigned to this organization in the NPPES registry on June 26, 2025.

Where is Maxwell Behavioral Health located?

Maxwell Behavioral Health is located at 120 Wards Ravine Way, St Johns, FL 32259. The listed phone number is (908) 670-5843.

What is Maxwell Behavioral Health's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Maxwell Behavioral Health was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.