Innovative Behavioral Health
NPI 1164035051ActiveOrganization· Clinic/Center· Lansing, MI
Clinic/Center in Lansing, Michigan, registered in NPPES in August 2020, part of Innovative Health Systems. The authorized official on file is Ricardo David Tillery, MBA, LCSW, SAP, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164035051 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Innovative Health Systems |
| NPI issued | Aug 28, 2020 |
| Last updated in NPPES | Aug 28, 2020 |
| Certified by provider | Aug 28, 2020 |
Specialties and licenses
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 (MI) |
|---|
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