Active NPI
Michael G Maurizi, MD
- Psychiatry Physician
- Moberly, MO
National Provider Identifier
1235252453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 106354
- Practice address
- 1513 Union Ave Ste 2500
Moberly, MO 65270-9412 - Phone
- (660) 372-1313
- Fax
- (660) 372-1339
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 106354 | MO | Primary |
| Psychiatry Physician | 2084P0800X | 25MA13128600 | NJ |
Addresses
Primary practice location
1513 Union Ave Ste 2500
Moberly, MO 65270-9412
Mailing address
1513 Union Ave Ste 2500
Moberly, MO 65270-9412
Phone (660) 372-1313
Other practice location 1
515 Valley St Ste 203
Maplewood, NJ 07040-4300
Phone (908) 663-2929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Missouri, Columbia School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
515 Valley St
Suite 203
Maplewood, NJ 07040-4300
Phone (908) 663-2929
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel O Fadare, MD, PA | Psychiatry | Current | Accepting new patients |
| Maurizi Isl Home | Past | Accepting new patients | |
| SSM Regional Health Services | Past | Accepting new patients | |
| SSM Regional Health Services | Past | Accepting new patients | |
| Compass Health, Inc | Past | Accepting new patients |
Locations
1513 Union Ave
Ste 2500
Moberly, MO 65270
Phone (660) 372-1313
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.
-
- Emergency Medicine Physician
- Maplewood, NJ
- NPI 1285015347
-
- Community/Behavioral Health Agency
- Clinton, MO
- NPI 1285619494
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Columbia, MO
- NPI 1184754046
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jefferson City, MO
- NPI 1053368159
-
- Community/Retail Pharmacy
- Jefferson City, MO
- NPI 1922119726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1235252453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1513 UNION AVE STE 2500",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652709412",
"telephone_number": "660-372-1313",
"fax_number": "660-372-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 UNION AVE STE 2500",
"city": "MOBERLY",
"state": "MO",
"postal_code": "652709412",
"telephone_number": "660-372-1313",
"fax_number": "660-372-1339"
}
],
"practiceLocations": [
{
"address_1": "515 Valley St Ste 203",
"address_purpose": "LOCATION",
"city": "Maplewood",
"state": "NJ",
"postal_code": "070404300",
"country_code": "US",
"telephone_number": "908-663-2929",
"fax_number": "908-934-9564",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAURIZI",
"first_name": "MICHAEL",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-10",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "106354",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MA13128600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moberly, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.