Individual provider Active NPI

Maximo B Lockward, MD

  • Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1114026721
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.071065 Issued in OH
Practice address
7580 Northcliff Ave
Cleveland, OH 44144-3270
Phone
(216) 206-7000
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X T-0818 NH
Psychiatry Physician 2084P0800X LT3560 NH
Psychiatry Physician 2084P0800X MD052597L PA
Psychiatry Physician 2084P0800X 4301116510 MI
Psychiatry Physician 2084P0800X 35.071065 OH Primary

Addresses

Primary practice location

7580 Northcliff Ave
Cleveland, OH 44144-3270

Mailing address

720 Presidential Dr
Youngstown, OH 44512-5792

Other identifiers 2

IdentifierTypeStateIssuer
001482049MedicaidPA
815676OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111122000533 OH Practitioner - Psychiatry 2365341385 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T-0819NHMDInternal Medicine Physician
LT3560NHMDPsychiatry Physician
T-0818NHMDPsychiatry Physician
35.071065OHMDPsychiatry Physician
MD052597LPAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Psychiatry Specialists Past Accepting new patients
Advanced Counseling Solutions LLC PastSince Sep 1, 2022 Accepting new patients
Canfield Counseling Clinic, Inc PastSince Dec 10, 2016 Accepting new patients
Trumbull Mahoning Medical Group, Inc. Past Accepting new patients
Compass Family and Community Services Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1114026721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 PRESIDENTIAL DR",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445125792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7580 NORTHCLIFF AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441443270",
            "telephone_number": "216-206-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKWARD",
        "first_name": "MAXIMO",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "T-0818",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NH",
            "license": "LT3560",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD052597L",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301116510",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.071065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001482049",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "815676",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.