MARLO MADDOX-KLECKLEY M.D. - NPI 1275557175 - Psychiatry & Neurology in Sacramento, CA

Q: What is Marlo Maddox-kleckley's NPI number?

The NPI number for Marlo Maddox-kleckley is 1275557175. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Marlo Maddox-kleckley's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

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About Marlo Maddox-kleckley M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARLO MADDOX-KLECKLEY M.D. (NPI 1275557175) is an individual psychiatry provider in Sacramento, California, licensed in California (A80427) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275557175

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameMARLO MADDOX-KLECKLEYCredential: M.D.

Location Address2230 STOCKTON BLVD RM 202Sacramento, CA 95817-1353

Mailing Address2230 Stockton Blvd Rm 202Sacramento, CA 95817-1353 · (916) 734-7523 · Fax (916) 734-3384

Phone(916) 734-7523

Fax(916) 734-3384

Sole ProprietorNo

Enumeration DateJuly 26, 2006

Last NPPES UpdateApril 10, 2024

NPPES CertifiedApril 10, 2024

✔ NPI 1275557175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A80427

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedFamily MedicineTaxonomy 207Q00000X · License A80427 (CA)

2230 STOCKTON BLVD RM 202, Sacramento, CA 95817

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marlo Maddox-kleckley M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$180.85 typical visit price

range $60.44 – $180.85

Typical copayment $45.21 (range $15.11 – $45.21)

Most-billed visit code 99205

Established Patient

$75.03 typical visit price

range $19.88 – $148.15

Typical copayment $18.75 (range $4.97 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOSHUA DAVID GEORGE MD

Student in an Organized Health Care Education/Training Program