DR. JACQUELINE ANNETTE MAXWELL PSY.D.
NPI 1780606996
Psychologist - Clinical in Indianapolis, IN

Q: What is Jacqueline Maxwell's NPI number?

The NPI number for Jacqueline Maxwell is 1780606996. It was assigned to this individual provider in the NPPES registry on July 24, 2006.

Q: What is Jacqueline Maxwell's specialty?

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

Active since July 24, 2006PECOS Enrolled

6950 HILLSDALE CT, INDIANAPOLIS, IN 46250(317) 621-7740 Get Directions Write a Review

NPPES record last updated: September 10, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Dr. Jacqueline Annette Maxwell Psy.d. NPPES

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

DR. JACQUELINE ANNETTE MAXWELL PSY.D. (NPI 1780606996) is an individual clinical provider in Indianapolis, Indiana, licensed in Indiana (20041818A) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1780606996

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JACQUELINE ANNETTE MAXWELLCredential: PSY.D.

Location Address6950 HILLSDALE CTIndianapolis, IN 46250

Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890 · (317) 621-7561

Phone(317) 621-7740

Sole ProprietorNo

Enumeration DateJuly 24, 2006

Last NPPES UpdateSeptember 10, 2019

✔ NPI 1780606996 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 IN · 20041818A

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.

6950 HILLSDALE CT, Indianapolis, IN 46250

Open in Google Maps ↗

Secondary Practice Location 1

Location 15230 A East Stop 11 Road, Suite 250Indianapolis, IN 46237-1087 · Phone (317) 528-8721 · Fax (317) 528-6872

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacqueline Annette Maxwell Psy.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Jacqueline Maxwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Health Network, Inc

0.1 mi

Mental Health (Including Community Mental Health Center)

6950 HILLSDALE CT
Indianapolis, IN 46250

Reassigned Medicare billing, Indiana enrollment
175 clinicians in this Medicare group

NPI 1265477632 (317) 621-7740

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 46250 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

$161.76 typical visit price

range $53.07 – $161.76

Typical copayment $40.44 (range $13.26 – $40.44)

Most-billed visit code 99205

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

KANESHA D MILLER LCSW

Social Worker (Clinical)