Individual provider Active NPI

Mauricio Murillo, M.D.

  • Psychiatry Physician
  • New York, NY
National Provider Identifier
1902833890
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
218525 Issued in NY
Practice address
157 E 72ND St
Ste H
New York, NY 10021-4333
Phone
(718) 239-0030
Fax
(718) 239-0032
NPI assigned
Jun 27, 2006
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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 218525 NY Primary
Psychosomatic Medicine Physician 2084P0015X 218525 NY

Addresses

Primary practice location

157 E 72ND St
Ste H
New York, NY 10021-4333

Mailing address

157 E 72ND St
Ste H
New York, NY 10021-4333
Phone (718) 239-0030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040517001436 NY Practitioner - Psychiatry 4082604327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.02 of 100Reported as group
Quality
67.92
Improvement activities
40
Cost
65.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218525NYMDPsychosomatic Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Healthcare Services P.C. Psychiatry CurrentSince Jun 1, 2011 Accepting new patients
Brooklyn Center for Psychotherapy,Inc. PastSince Apr 16, 2015 Accepting new patients
Neuropsychiatry PC Psychiatry PastSince Dec 1, 2013 Accepting new patients

Locations

14445 87th Ave
Jamaica, NY 11435
Phone (718) 239-0030

157 E 72nd St
Ste H
New York, NY 10021
Phone (718) 239-0030

Organizations & group practices 5

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1902833890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 E 72ND ST",
            "address_2": "STE H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214333",
            "telephone_number": "718-239-0030",
            "fax_number": "718-239-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 E 72ND ST",
            "address_2": "STE H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214333",
            "telephone_number": "718-239-0030",
            "fax_number": "718-239-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURILLO",
        "first_name": "MAURICIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "218525",
            "primary": true
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NY",
            "license": "218525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.