Provider Demographics
NPI:1114818994
Name:MAXSON, CHELSEY MAE (PHD)
Entity type:Individual
Prefix:DR
First Name:CHELSEY
Middle Name:MAE
Last Name:MAXSON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 W CAMPBELL AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-3820
Mailing Address - Country:US
Mailing Address - Phone:406-214-5850
Mailing Address - Fax:
Practice Address - Street 1:15720 N GREENWAY HAYDEN LOOP STE 2
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-1796
Practice Address - Country:US
Practice Address - Phone:406-214-5850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZPSY-006044103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist