Michael A. Cerullo, MD

Psychiatry Physician · Maywood, IL

Individual Active NPI

NPI number 1649345026

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328
Phone
(708) 216-9000

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NPI record

NPI
1649345026
Entity type
Individual (Type 1)
Enumeration date
November 21, 2006
Last updated
November 14, 2024
Certified
November 14, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychiatry Physician Primary 2084P0800X 036171397 IL
Psychiatry Physician 2084P0800X 35086733 OH
Psychiatry Physician 2084P0800X MD61590777 WA

Mailing address

4464 S Dixie Hwy
Middletown, OH 45005-5464
Phone
(513) 649-8008
Fax
(513) 649-8004

Other practice locations (1)

  • 4464 S Dixie Hwy, Middletown, OH 45005-5464 · (513) 649-8008 ext. 22

About Dr. Cerullo

Michael A. Cerullo, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Psychiatry Physician (code 2084P0800X). The practice location is 2160 S 1st Ave, Maywood, IL 60153-3328. The NPI number 1649345026 was assigned on November 21, 2006 and the record was last updated on November 14, 2024.

Dr. Cerullo lists 3 licenses in the registry: #036171397 (IL) for Psychiatry Physician; #35086733 (OH) for Psychiatry Physician; #MD61590777 (WA) for Psychiatry Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael A. Cerullo, MD?

The NPI number is 1649345026.

What is the phone number of Dr. Cerullo?

The phone number listed for the practice location is (708) 216-9000.

Where is Dr. Cerullo located?

2160 S 1st Ave, Maywood, IL 60153-3328.

What is the taxonomy code for Dr. Cerullo?

The primary taxonomy code is 2084P0800X – Psychiatry Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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