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MAXIME ALTIDOR
NPI 1700555125
Counselor - Mental Health in Brooklyn, NY

Active since September 09, 2021PECOS Enrolled
15 2ND AVE FL 3, BROOKLYN, NY 11215(718) 514-6007 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2025, Apr 7, 2022, Sep 9, 2021 (3 updates tracked since 2021).

About Maxime Altidor NPPES

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

MAXIME ALTIDOR (NPI 1700555125) is an individual mental health provider in Brooklyn, New York, licensed in New York (012258) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700555125
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMAXIME ALTIDOR
Location Address15 2ND AVE FL 3Brooklyn, NY 11215-2711
Mailing Address15 2nd Ave Fl 3Brooklyn, NY 11215-2711 · (718) 514-6007
Phone(718) 514-6007
Sole ProprietorNo
Enumeration DateSeptember 9, 2021
Last NPPES UpdateDecember 8, 20253 updates tracked since enumeration
NPPES CertifiedDecember 8, 2025
✔ NPI 1700555125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 012258
15 2ND AVE FL 3, Brooklyn, NY 11215
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maxime Altidor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

KATHERINE YUSUPOVA
Counselor (Addiction (Substance Use Disorder))
15 2ND AVE FL 3
BROOKLYN, NY 11215
Kings County (718) 514-6007
MIRAY MAGED YOUSEF
Counselor (Addiction (Substance Use Disorder))
15 2ND AVE FL 3
BROOKLYN, NY 11215
Kings County (718) 514-6007
MISS AMALIA NORA RUDNIK M.A.
Counselor (Mental Health)
15 2ND AVE FL 3
BROOKLYN, NY 11215
Kings County (718) 514-6007
REVCORE RECOVERY CENTER OF MANHATTAN, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
15 2ND AVE FL 3
BROOKLYN, NY 11215
Kings County (718) 514-6007
STARQUASIA TERRKEYA BAKER
Counselor (Addiction (Substance Use Disorder))
15 2ND AVE FL 3
BROOKLYN, NY 11215
Kings County (718) 514-6007
TIFFANY A MACKOWSKA LCSW
Social Worker (Clinical)
15 2ND AVE FL 3
BROOKLYN, NY 11215
Kings County (718) 514-6007
PAIGE ANN BEAUCANT
Counselor (Addiction (Substance Use Disorder))
15 2ND AVE FL 3
BROOKLYN, NY 11215
Kings County (718) 514-6007
MORRIS A SARJU LMSW
Social Worker
15 2ND AVE FL 3
BROOKLYN, NY 11215
Kings County (718) 514-6007

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 Maxime Altidor's NPI number?

The NPI number for Maxime Altidor is 1700555125. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Maxime Altidor located?

Maxime Altidor practices at 15 2nd Ave Fl 3, Brooklyn, NY 11215. The listed phone number is (718) 514-6007.

What is Maxime Altidor's specialty?

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

Is Maxime Altidor enrolled in Medicare?

Yes. Maxime Altidor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maxime Altidor was last updated on December 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.