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MR. CHASE MONTGOMERY MADDOX
NPI 1902667629
Peer Specialist in Brooklyn, NY

Active since January 19, 2024
1623 FLATBUSH AVE STE 4, BROOKLYN, NY 11210(718) 377-5755 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Chase Montgomery Maddox NPPES

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

MR. CHASE MONTGOMERY MADDOX (NPI 1902667629) is an individual peer specialist in Brooklyn, New York, licensed in New York (NYCPS-P-200062) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1902667629
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. CHASE MONTGOMERY MADDOX
Location Address1623 FLATBUSH AVE STE 4Brooklyn, NY 11210-3264
Mailing Address517 W 161st St Apt 65New York, NY 10032-6115 · (347) 894-7025
Phone(718) 377-5755
Sole ProprietorYes
Enumeration DateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1902667629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in NY · NYCPS-P-200062
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1623 FLATBUSH AVE STE 4, Brooklyn, NY 11210
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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 Chase Maddox's NPI number?

The NPI number for Chase Maddox is 1902667629. It was assigned to this individual provider in the NPPES registry on January 19, 2024.

Where is Chase Maddox located?

Chase Maddox practices at 1623 Flatbush Ave Ste 4, Brooklyn, NY 11210. The listed phone number is (718) 377-5755.

What is Chase Maddox's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Chase Maddox was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.