Individual provider Active NPI

Richard W. Wadsworth, DO

  • Psychiatry Physician
  • Maryville, MO
National Provider Identifier
1790279511
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34C.000448 Issued in OH
Practice address
114 E South Hills Dr
Maryville, MO 64468-2659
Phone
(660) 562-4305
Fax
(816) 562-4312
NPI assigned
Jun 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2020017751 MO
Psychiatry Physician 2084P0800X 34C.000448 OH Primary

Addresses

Primary practice location

114 E South Hills Dr
Maryville, MO 64468-2659

Mailing address

150 Cross Street
Akron, OH 44311-1026
Phone (330) 996-9141

Other practice location 1

1 Hospital Dr # 67.00
Columbia, MO 65212-1000
Phone (573) 882-8907

Other practice location 2

307 N Main St
Windsor, MO 65360-1449
Phone (844) 853-8937

Other practice location 3

2016 S Main St
Maryville, MO 64468-2655
Phone (660) 562-7918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220801001429 MO Practitioner - Psychiatry 4981951035 Reassigns benefits to 1 organization
I20250616000265 OH Practitioner - Psychiatry 4981951035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.52 of 100Reported as group
Quality
73.6
Promoting interoperability
100
Improvement activities
40
Cost
81.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Community Support Services, Inc Current Accepting new patients
Mosaic Medical Center - Maryville Psychiatry CurrentSince Jul 27, 2022 Accepting new patients
Mosaic Medical Center - Maryville CurrentSince Jul 27, 2022 Accepting new patients
Community Support Services Inc CurrentSince May 7, 2025 Accepting new patients
Community Support Services, Inc. CurrentSince May 7, 2025 Accepting new patients
Mosaic Medical Center - Maryville Past Accepting new patients
University of Missouri, Columbia Past Accepting new patients

Locations

2016 S Main St
Maryville, MO 64468
Phone (660) 562-2525

114 E South Hills Dr
Maryville, MO 64468
Phone (660) 562-2525

301 E Price Ave
Ste A
Savannah, MO 64485
Phone (816) 324-5644

150 Cross St
Akron, OH 44311
Phone (330) 253-9388

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1790279511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CROSS STREET",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111026",
            "telephone_number": "330-996-9141",
            "fax_number": "330-376-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E SOUTH HILLS DR",
            "city": "MARYVILLE",
            "state": "MO",
            "postal_code": "644682659",
            "telephone_number": "660-562-4305",
            "fax_number": "816-562-4312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hospital Dr # 67.00",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652121000",
            "country_code": "US",
            "telephone_number": "573-882-8907",
            "fax_number": "573-884-1070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 N Main St",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "MO",
            "postal_code": "653601449",
            "country_code": "US",
            "telephone_number": "844-853-8937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2016 S Main St",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "MO",
            "postal_code": "644682655",
            "country_code": "US",
            "telephone_number": "660-562-7918",
            "fax_number": "660-562-7946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "RICHARD",
        "middle_name": "W.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-15",
        "last_updated": "2025-06-13",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2020017751",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34C.000448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, MO

Sources for this page

Verify at the official NPI Registry.