Healthcare Provider Details

I. General information

NPI: 1407770407
Provider Name (Legal Business Name): MAXWELL PSYCHOLOGICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6337 HOLLISTER DR STE 101
INDIANAPOLIS IN
46224-2996
US

IV. Provider business mailing address

6337 HOLLISTER DR STE 101
INDIANAPOLIS IN
46224-2996
US

V. Phone/Fax

Practice location:
  • Phone: 317-682-9279
  • Fax: 765-340-8204
Mailing address:
  • Phone: 317-682-9279
  • Fax: 765-340-8204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHRISTINA ELIZABETH MAXWELL
Title or Position: OWNER/CLINICAL PSYCHOLOGIST
Credential: PSY.D., HSPP
Phone: 317-682-9279