Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael A Cerullo, MD

Individual provider Psychiatry Physician · NPI 1649345026

Michael A Cerullo, MD is a Psychiatry in Maywood, Illinois. Graduated from Saint Louis University School of Medicine in 2000, 26 years ago. Practices with Good Samaritan Regional Health Center, a 155-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois, Ohio and Washington.

Years since qualifying
26
Trained at
Saint Louis University School of Medicine
Licensed in
IL, OH, WA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 216-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4464 S Dixie Hwy, Middletown, OH 45005-5464 — (513) 649-8008

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 036171397 (IL)
Psychiatry Physician Taxonomy 2084P0800X · Licence 35086733 (OH)
Psychiatry Physician Taxonomy 2084P0800X · Licence MD61590777 (WA)

Record details

NPI number1649345026
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 21, 2006
Last updated in NPPESNovember 14, 2024
Certification dateNovember 14, 2024
Mailing address4464 S Dixie Hwy, Middletown, OH 45005-5464

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Good Samaritan Regional Health Center — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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