PHILLIP G MAIDEN (M.D.) – Psychiatry Physician, NPI 1063418168

PHILLIP G MAIDEN (M.D.) is a healthcare provider. based in Warren, Ohio. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. 35063252M (OH). The NPI Number for PHILLIP G MAIDEN (M.D.) is 1063418168

Main info

Male
Sole Proprietor
41 Years Of Experience
Accepts Medicare Assignment
Name
PHILLIP G MAIDEN (M.D.)
NPI
1063418168
Phone
(330) 758-4515
Address
1704 NORTH RD SE
Enumeration Date
23 June 2005
Last Update Date
14 January 2009

Doctor Profile

Medical School Name
EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Secondary Phone
3307593040
Graduation Year
1985 (41 years ago)
PAC ID
7315909066
Group Practice PAC ID
3779532262
Professional Enrollment ID
I20041103001166
Address ID
OH445051041YO4531XAVEX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,244 PSYCHIATRY in OH

Loading map...

Provider Addresses for PHILLIP G MAIDEN (M.D.)

  • 1704, North Road Southeast, Warren, Trumbull County, Ohio, 44484, United States

    WARREN, OH 444842958

    Phone: (330) 758-4515

    Fax: (330) 758-5121

    Type: Location

  • PO BOX 5384

    YOUNGSTOWN, OH 445140384

    Phone: (330) 758-4515

    Fax: (330) 758-5121

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041103001166IPsychiatryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes6721$0
View full utilization report →

Insurance plans in this area (ZIP 44484)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779532262View full group profile
NameSpecialtyState
-OH
Mental Health CounselorOH
Clinical Social WorkerOH
Certified Clinical Nurse Specialist (Cns)OH
Clinical Social WorkerOH
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Certified Clinical Nurse Specialist (Cns)OH
Mental Health CounselorOH

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the registry number for PHILLIP G MAIDEN (M.D.)?
The registry entry for PHILLIP G MAIDEN (M.D.) shows NPI 1063418168.
Is PHILLIP G MAIDEN (M.D.)'s NPI status active today?
Active status means PHILLIP G MAIDEN (M.D.)'s NPI record is not deactivated in the public file.
What services align with PHILLIP G MAIDEN (M.D.)'s listing?
PHILLIP G MAIDEN (M.D.)'s public classification highlights Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What city is tied to PHILLIP G MAIDEN (M.D.)?
The directory associates PHILLIP G MAIDEN (M.D.) with Warren, Ohio. Check all listed addresses for suites or satellite offices.
Who maintains PHILLIP G MAIDEN (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

Similar Providers

2660, South Street Southeast, Warren, Trumbull County, Ohio, 44483, United States
NPI: 1215921168

DR. BRAHMAIAH TANDRA (M.D.)

Psychiatry Physician
East Market Street, Warren, Trumbull County, Ohio, 44484, United States
NPI: 1144206087

DR. ERIN KLEKOT (M.D.)

Psychiatry Physician
East Market Street, Warren, Trumbull County, Ohio, 44484, United States
NPI: 1659357499

DR. GIOVANNA VINCI-KHOURY (MD)

Psychiatry Physician
150, East Market Street, Warren Commercial Historic District, Warren, Trumbull County, Ohio, 44481, United States
NPI: 1124080239

Mahoning County Chemical Dependency Programs, Inc.

Mental Health Clinic/Center (Including Community Mental Health Center)
8255 South Ave
NPI: 1356307235

PHILLIP MAIDEN M.D.

Psychiatry Physician
Poland Post Office, West McKinley Way, Poland, Mahoning County, Ohio, 44514, United States
NPI: 1336106459

DR. RONALD YENDREK (DO)

Psychiatry Physician
150, East Market Street, Warren Commercial Historic District, Warren, Trumbull County, Ohio, 44481, United States
NPI: 1306888771

DR. HARISH K PATEL (MD)

Psychiatry Physician
1704, North Road Southeast, Albion Heights, Warren, Trumbull County, Ohio, 44484, United States
NPI: 1801820923

DR. SHIN JAE LEE (M.D.)

Psychiatry Physician
1400, Tod Avenue Northwest, Mahoning Crest, Warren, Trumbull County, Ohio, 44485, United States
NPI: 1932110319