Michael Joseph Maggio Jr., MSN, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Warren, OH
NPI 1417501412 · NPPES record last updated Sep 16, 2020
Key facts
- NPI
- 1417501412
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN.CNP.0027245 (OH)
- Practice address
- 8577 E Market St
Warren, OH 44484-2345 - Phone
- (330) 856-6663
- Fax
- (330) 856-1581
- NPI assigned
- Jul 29, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 15
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Greenbrook TMS Cleveland LLC
Ohio North East Health Systems Inc
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 100
- Quality
- 20.12
- Improvement activities
- 0
- Cost
- 84.26
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200810001297 | OH | Practitioner - Nurse Practitioner | 8123443090 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.420964 | OH | MD | Registered Nurse |
| APRN.CNP.0027245 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio North East Health Systems, Inc. | Current |
Accepting new patients | |
| Psy-Care Inc | Psychiatric/Mental Health | Current |
Accepting new patients |
| Psycare, Inc. | Current |
Accepting new patients | |
| Greenbrook TMS Cleveland LLC | Current |
Accepting new patients | |
| Ohio North East Health Systems Inc | Current |
Accepting new patients | |
| Travco Behavioral Health, Inc. | Past |
Accepting new patients | |
| Travco Behavioral Health, Inc. | Past |
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
726 Wick Ave
Youngstown, OH 44505
Phone (330) 747-2330
2980 Belmont Ave
Youngstown, OH 44505
Phone (330) 759-0276
Interoperability endpoints
- michael.maggio.p1@direct.oho.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.420964 | OH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0027245 | OH | Yes |
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
Other providers in Warren, OH
- Mac Transit
- Anastasia Macdougall
- Dannielle Paige Macduff
- Karen Machak
- Holly J Maggiano
- Mazen A. Mahjoub
- Mahoning Valley Dental Services
- Mahoning Valley Hospital, Inc.
- Phillip G Maiden
- Leigh Ann Majersky Dotts
All providers in Warren, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.