Active NPI
Maurice Ralph Picciotto, M.D.
- Psychiatry Physician
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD030316E
- 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
- Last updated
- Jul 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD030316E | PA | Primary |
Addresses
Primary practice location
2209 Forest Hills Dr
Suite 19
Harrisburg, PA 17112-1095
Mailing address
2209 Forest Hills Dr
Suite 19
Harrisburg, PA 17112-1095
Phone (717) 540-4420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
119 Lincolnway W
McConnellsburg, PA 17233-1302
Phone (717) 485-3264
53512 Jaycee Ave
Suite 1
Harrisburg, PA 17112
Phone (717) 632-4900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T.W. Ponessa & Associates Counseling Services, Inc. | Current | Accepting new patients | |
| NHS Stevens Center | Current | Accepting new patients | |
| Truenorth Wellness Services | Current | Accepting new patients | |
| NHS Stevens Center | Current | Accepting new patients | |
| Truenorth Wellness Services | Current | Accepting new patients | |
| Truenorth Wellness Services | Current | Accepting new patients | |
| Family Care for Children & Youth, Inc. | Past | Accepting new patients |
Locations
33 State Ave
Carlisle, PA 17013
Phone (215) 375-1970
625 W Elm Ave
Hanover, PA 17331
620 Germantown Pike
Lafayette Hl, PA 19444
Phone (313) 278-2327
410 N Prince St
Lancaster, PA 17603
15 S 9th St
Lebanon, PA 17042
Phone (717) 273-5992
1195 Roosevelt Ave
York, PA 17404
Phone (717) 843-0800
160 Roosevelt Ave
Ste 300
York, PA 17401
Phone (717) 845-2425
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Hanover, PA
- NPI 1912013509
-
- Community/Behavioral Health Agency
- Lancaster, PA
- NPI 1053341859
-
- Community/Behavioral Health Agency
- Carlisle, PA
- NPI 1740404359
-
- Community/Behavioral Health Agency
- York, PA
- NPI 1215151170
-
- Community/Behavioral Health Agency
- Shermans Dale, PA
- NPI 1386868230
-
- Community/Behavioral Health Agency
- Hanover, PA
- NPI 1356534945
-
- Community/Behavioral Health Agency
- Hanover, PA
- NPI 1447443049
-
dba Family Behavioral Health Program
- Mental Illness Community Based Residential Treatment Facility
- York, PA
- NPI 1689740839
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- McConnellsburg, PA
- NPI 1326044694
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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": []
}
Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.