MEDICARE: MR. JAMES MAXWELL BARNETT CCSS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1346055878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JAMES MAXWELL BARNETT CCSS

Provider Business Mailing Address
First Line	:	2015 WYOMING BLVD NE STE J
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-2646
Country	:	US
Telephone Number	:	505-226-4359
Fax Number	:

Provider Business Practice Location Address
First Line	:	2015 WYOMING BLVD NE STE J
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87112-2646
Country	:	US
Telephone Number	:	505-226-4359
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/11/2025
Last Update Date	:	04/10/2026

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