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DOUGLAS MUCCIO PH.D
NPI 1497934855
Psychologist - Exercise & Sports in Warren, OH

Active since November 01, 2007PECOS Enrolled
53.41/100
CMS Quality Rating
8577 E MARKET ST, WARREN, OH 44484(330) 856-6663(330) 856-1581 Get Directions Write a Review

NPPES record last updated: November 1, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas Muccio Ph.d NPPES

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

DOUGLAS MUCCIO PH.D (NPI 1497934855) is an individual exercise & sports provider in Warren, Ohio, licensed in Ohio (RJ948942) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497934855
Entity TypeIndividualMale
Primary Taxonomy103TE1100X
Provider Legal NameDOUGLAS MUCCIOCredential: PH.D
Location Address8577 E MARKET STWarren, OH 44484-2345
Mailing Address8577 E Market StWarren, OH 44484-2345 · (330) 856-6663 · Fax (330) 856-1581
Phone(330) 856-6663
Fax(330) 856-1581
Sole ProprietorNo
Enumeration DateNovember 1, 2007
✔ NPI 1497934855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Exercise & SportsBehavioral Health & Social Service Providers
Taxonomy Code103TE1100X
License✔ Licensed in OH · RJ948942
Definition
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists.
8577 E MARKET ST, Warren, OH 44484
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Muccio Ph.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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

53.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality11.39
Promoting Interoperability0
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 20

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

JEANETE DEANGELO LSW
Social Worker
8577 E MARKET ST
WARREN, OH 44484
Trumbull County (330) 856-6663
DIANE SHARNEK MS/PC
Counselor (Professional)
8577 E MARKET ST
WARREN, OH 44484
Trumbull County (330) 856-6663
DR. BETSY BRYAN P.C.C., PH.D.
Psychologist (Counseling)
8577 E MARKET ST
WARREN, OH 44484
Trumbull County (330) 856-6663
DIANE SUSA MS/LPCC/NCC
Counselor (Professional)
8577 E MARKET ST
WARREN, OH 44484
Trumbull County (330) 856-6663
BENJAMIN K LARSON
Counselor (Professional)
8577 E MARKET ST
WARREN, OH 44484
Trumbull County (330) 856-6663
DR. BRAHMAIAH TANDRA M.D.
Psychiatry & Neurology (Psychiatry)
8577 E MARKET ST
WARREN, OH 44484
Trumbull County (330) 856-6663
LORI FUNKHOUSER FNP-BC, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
8577 E MARKET ST
WARREN, OH 44484
Trumbull County (330) 856-6663
SARA ZINGARO
Registered Nurse
8577 E MARKET ST
WARREN, OH 44484
Trumbull County (330) 856-6663

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Muccio's NPI number?

The NPI number for Douglas Muccio is 1497934855. It was assigned to this individual provider in the NPPES registry on November 1, 2007.

Where is Douglas Muccio located?

Douglas Muccio practices at 8577 E Market St, Warren, OH 44484. The listed phone number is (330) 856-6663.

What is Douglas Muccio's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Exercise & Sports, with taxonomy code 103TE1100X.

Is Douglas Muccio enrolled in Medicare?

Yes. Douglas Muccio is registered in the Medicare PECOS enrollment system.

What insurance does Douglas Muccio accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual and Molina Healthcare list Douglas Muccio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Douglas Muccio was last updated on November 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.