Marcello Argeo Maviglia, MD,MPH

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

90-245 Issued in NM

Practice address

1336 Lafayette Dr NE
Albuquerque, NM 87106-1123

Phone

(505) 688-6055

Fax

(505) 346-9402

NPI assigned

Apr 11, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Courageous Transformations, Inc

  • Methadone Clinic
  • Albuquerque, NM
  • NPI 1568838795
  NPD

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1699948489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 LAFAYETTE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061123",
            "telephone_number": "505-688-6055",
            "fax_number": "505-346-9402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 LAFAYETTE DR NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871061123",
            "telephone_number": "505-688-6055",
            "fax_number": "505-346-9402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVIGLIA",
        "first_name": "MARCELLO",
        "middle_name": "ARGEO",
        "name_prefix": "Dr.",
        "credential": "MD,MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "NM",
            "license": "90-245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phinter Adhiambo Maurice
• Lesly Mauricio
• Lisa C Maury
• Margaret B Maury, OT
• Leah Maus, RD
• Davita Mawulawde
• Maxcare, Inc.
• Annette M Maxedon, CFNP
• Michelle Maxedon, MS, LCGC
• Jo A Maxey

• Addiction Psychiatry Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Addiction Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.