Baptist Behavioral Health, LLC
NPI 1164155974ActiveOrganization· Psychologist· Jacksonville, FL
Psychologist in Jacksonville, Florida, registered in NPPES in July 2022, part of Baptist Behavioral Health, LLC. The authorized official on file is Elizabeth Tish De Medici, Credentialing Mgr.
Overview
| NPI | 1164155974 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Baptist Behavioral Health, LLC |
| NPI issued | Jul 8, 2022 |
| Last updated in NPPES | Jul 8, 2022 |
| Certified by provider | Jun 28, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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