Customized Behavioral Healthcare
NPI 1033860283ActiveOrganization· Psychologist, Clinical· Columbus, OH
Psychologist, Clinical in Columbus, Ohio, registered in NPPES in January 2022. The authorized official on file is Anthony Lamont Rivers, PSY.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1033860283 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 10, 2022 |
| Last updated in NPPES | Jul 28, 2023 |
| Certified by provider | Jul 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OH) |
|---|
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