Individual provider Active NPI

Michael G Maurizi, MD

  • Psychiatry Physician
  • Moberly, MO
National Provider Identifier
1235252453
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
106354 Issued in MO
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

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260527000736 NJ Practitioner - Psychiatry 1052360377 Reassigns benefits to 1 organization

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
Stationmd Professional CorporationGroup PAC ID 6204184104, 64 clinicians

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

OrganizationSpecialtyStatusNew patients
Samuel O Fadare, MD, PA Psychiatry CurrentSince Dec 10, 2023 Accepting new patients
Maurizi Isl Home Past Accepting new patients
SSM Regional Health Services PastSince Dec 22, 2013 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.

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

Verify at the official NPI Registry.