Maurice Ralph Picciotto, M.D.

Key facts

NPI

1376652487

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatry Physician 2084P0800X

License

MD030316E (PA)

Practice address

2209 Forest Hills Dr
Suite 19
Harrisburg, PA 17112-1095

Phone

(717) 540-4420

Fax

(717) 540-4427

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 8

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.

• Truenorth Wellness Services Community/Behavioral Health Agency · Hanover, PA · NPI 1912013509
  Medicare reassignment Care Compare group NPD PA
• T.W. Ponessa & Associates Counseling Services, Inc. Community/Behavioral Health Agency · Lancaster, PA · NPI 1053341859
  Medicare reassignment NPD PA
• NHS Stevens Center Community/Behavioral Health Agency · Carlisle, PA · NPI 1740404359
  Medicare reassignment PA
• NHS Stevens Center Community/Behavioral Health Agency · York, PA · NPI 1215151170
  NPD
• NHS Stevens Center Community/Behavioral Health Agency · Shermans Dale, PA · NPI 1386868230
  NPD
• Truenorth Wellness Services Community/Behavioral Health Agency · Hanover, PA · NPI 1356534945
  NPD
• Truenorth Wellness Services Community/Behavioral Health Agency · Hanover, PA · NPI 1447443049
  NPD
• Family Care for Children & Youth, Inc. Mental Illness Community Based Residential Treatment Facility · York, PA · NPI 1689740839
  NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fulton County Medical Center Critical Access Hospital · MC Connellsburg, PA · NPI 1326044694
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Psychiatry

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Truenorth Wellness Services (20 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fulton County Medical Center Hospital · McConnellsburg, PA · CCN 391303

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in PA, NY

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376652487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 FOREST HILLS DR",
            "address_2": "SUITE 19",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121095",
            "telephone_number": "717-540-4420",
            "fax_number": "717-540-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2209 FOREST HILLS DR",
            "address_2": "SUITE 19",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121095",
            "telephone_number": "717-540-4420",
            "fax_number": "717-540-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICCIOTTO",
        "first_name": "MAURICE",
        "middle_name": "RALPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD030316E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Harrisburg, PA · Psychiatry Physician in Pennsylvania