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DR. CASILDA MAXWELL PHD
NPI 1700268182
Psychologist - Clinical in Grand Rapids, MI

Active since June 23, 2015PECOS Enrolled
300 68TH ST SE, CAMPUS CLINIC, GRAND RAPIDS, MI 49548(616) 258-7429(616) 493-6034 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 16, 2020, Oct 31, 2016 (2 updates tracked since 2016).

About Dr. Casilda Maxwell Phd NPPES

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

DR. CASILDA MAXWELL PHD (NPI 1700268182) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301017793) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1700268182
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CASILDA MAXWELLCredential: PHD
Location Address300 68TH ST SE, CAMPUS CLINICGrand Rapids, MI 49548-6927
Mailing Address300 68th St Se, Campus ClinicGrand Rapids, MI 49548-6927 · (616) 258-7429 · Fax (616) 493-6034
Phone(616) 258-7429
Fax(616) 493-6034
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJune 23, 2015
Last NPPES UpdateJanuary 16, 20202 updates tracked since enumeration
✔ NPI 1700268182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301017793
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
300 68TH ST SE, Grand Rapids, MI 49548
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Casilda Maxwell Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628317096
PECOS Enrollment IDI20190228002954
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Casilda Maxwell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pine Rest Christian Mental Health Services
Same address
Psychologist
300 68TH ST SE
Grand Rapids, MI 49548
  • Reassigned Medicare billing, Michigan enrollment
  • 135 clinicians in this Medicare group
NPI 1780695411 (616) 455-5000
Sagacity Global Psych And Associates
4.5 mi
Psychologist
2563 WOODLAKE RD SW APT 6
Wyoming, MI 49519
  • Reassigned Medicare billing, Michigan enrollment
NPI 1528664646 (443) 527-7678

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49548 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JILLIAN LEIGH MURRAY L.C.S.W
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
CANDY MCKENNEY
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
TAO CHANCE BROWN-EDWARDS
Behavior Analyst
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
MRS. REBECCA JOY BACK LMSW
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (269) 929-7342
SARA RENE QUASHNIE LLMSW
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
KIMERA RAIN HARRIS
Psychiatry & Neurology (Psychiatry)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (800) 678-5500
AMY LOUISE MCGAREY MSW
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000
JUNE BUIKEMA-TEBEAU
Counselor (Mental Health)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Kent County (616) 455-5000

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 Casilda Maxwell's NPI number?

The NPI number for Casilda Maxwell is 1700268182. It was assigned to this individual provider in the NPPES registry on June 23, 2015.

Where is Casilda Maxwell located?

Casilda Maxwell practices at 300 68th St SE Campus Clinic, Grand Rapids, MI 49548. The listed phone number is (616) 258-7429.

What is Casilda Maxwell's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Casilda Maxwell enrolled in Medicare?

Yes. Casilda Maxwell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Casilda Maxwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Casilda Maxwell reassigns Medicare benefits to 2 organizations: Pine Rest Christian Mental Health Services (Grand Rapids, MI) and Sagacity Global Psych And Associates (Wyoming, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Casilda Maxwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Casilda Maxwell accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Casilda Maxwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Casilda Maxwell was last updated on January 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.