Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Chase Montgomery Maddox

Individual provider Peer Specialist · NPI 1902667629

Mr. Chase Montgomery Maddox is a Peer Specialist in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
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Practice location Address checks out

1623 Flatbush Ave Ste 4
Brooklyn, NY 11210-3264
Phone: (718) 377-5755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence NYCPS-P-200062 (NY)

Record details

NPI number1902667629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 19, 2024
Last updated in NPPESJanuary 19, 2024
Certification dateJanuary 19, 2024

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