Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376876490 Individual Practitioner Female Practitioner

Maxine Luz Villavicencio Pulliam

Counselor • Irvine, CA

Professional Overview & Biography Verified Profile Summary

Maxine Pulliam is a registered healthcare professional specializing in Counselor in Irvine, CA. Practice services are available at 22 CROCKETT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

22 Crockett

Irvine, CA 926203331

Telephone 6502452516

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Irvine, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
10 Specialists

Practicing in Irvine, CA (14303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 08, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location September 08, 2009

Registered at 22 CROCKETT, IRVINE, CA 926203331 (Tel: 6502452516)

📍
Updated Business Mailing Address September 08, 2009

Registered at 22 CROCKETT, IRVINE, CA 926209262 (Tel: 6502452516)

👤
Provider Name / Credentials Updated September 08, 2009

Recorded as MAXINE PULLIAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2009

Counselor

🟢
Initial NPI Registration & Enumeration September 08, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376876490
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 08, 2009
Last Update: September 08, 2009
Sole Proprietor: No

Mailing Address

22 Crockett

Irvine, CA 926209262

Phone: 6502452516

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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