Spectrum Transformation Group, LLC
NPI 1174855985ActiveOrganization· Psychologist, Cognitive & Behavioral· North Chesterfield, VA
Psychologist, Cognitive & Behavioral in North Chesterfield, Virginia, registered in NPPES in February 2010. The authorized official on file is Cedric Moore, MBA, Chief Executive Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1174855985 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 3, 2010 |
| Last updated in NPPES | Nov 17, 2020 |
| Certified by provider | Nov 17, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Cognitive & Behavioral Primary | 103TB0200X | — | — |
| Behavior Analyst | 103K00000X | — | — |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
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 (VA) |
|---|