Individual provider Active NPI

Michael Joseph Maggio Jr., MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Warren, OH
National Provider Identifier
1417501412
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0027245 Issued in OH
Practice address
8577 E Market St
Warren, OH 44484-2345
Phone
(330) 856-6663
Fax
(330) 856-1581
NPI assigned
Jul 29, 2019
Last updated
Sep 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.420964 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0027245 OH Primary

Addresses

Primary practice location

8577 E Market St
Warren, OH 44484-2345

Mailing address

2980 Belmont Ave
Youngstown, OH 44505-1834
Phone (330) 759-0276

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200810001297 OH Practitioner - Nurse Practitioner 8123443090 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greenbrook TMS Cleveland LLCGroup PAC ID 8921340415, 11 clinicians

Practice addresses (Care Compare)

4001 Whipple Ave NW
Suite 201
Canton, OH 44718-2977
Phone (855) 940-4867

726 Wick Ave
Youngstown, OH 44505-2827
Phone 330747955177182

Merit-based Incentive Payment System (MIPS)

Final score
41.34 of 100Reported as group
Quality
20.12
Improvement activities
0
Cost
84.26

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.420964OHMDRegistered Nurse
APRN.CNP.0027245OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psycare, Inc. CurrentSince Sep 17, 2020 Accepting new patients
Psy-Care Inc Psychiatric/Mental Health CurrentSince Sep 17, 2020 Accepting new patients
Greenbrook TMS Cleveland LLC CurrentSince Sep 2, 2024 Accepting new patients
Ohio North East Health Systems Inc CurrentSince Mar 3, 2025 Accepting new patients
Ohio North East Health Systems, Inc. CurrentSince Mar 3, 2025 Accepting new patients
Travco Behavioral Health, Inc. PastSince Aug 1, 2019 Accepting new patients
Travco Behavioral Health, Inc. PastSince Aug 1, 2019 Accepting new patients

Locations

1390 S Arch Ave
Alliance, OH 44601
Phone (330) 821-3961

23240 Chagrin Blvd
Ste 135
Beachwood, OH 44122

4001 Whipple Ave NW
Ste 201
Canton, OH 44718
Phone (234) 759-9226

3560 W Market St
Ste 205
Fairlawn, OH 44333

33 Milford Dr
Ste 3
Hudson, OH 44236

4807 Rockside Rd
Ste 450
Independence, OH 44131
Phone 33091371090

8577 E Market St
Warren, OH 44484
Phone (330) 856-6663

24700 Center Ridge Rd
Ste 380
Westlake, OH 44145

2980 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-0276

726 Wick Ave
Youngstown, OH 44505
Phone (330) 747-2330

Interoperability endpoints

  • Direct secure messaging: michael.maggio.p1@direct.oho.nextgenshare.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1564358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1417501412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 BELMONT AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051834",
            "telephone_number": "330-759-0276",
            "fax_number": "330-759-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8577 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842345",
            "telephone_number": "330-856-6663",
            "fax_number": "330-856-1581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGIO",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-29",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.420964",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0027245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.