Courtney Roler Mauzy IV, BCBA PHD
NPI 1366228025ActiveIndividual· Psychologist· Syracuse, NY
Psychologist (BCBA PHD) with Pediatric Service Group, practicing in Syracuse, New York. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1366228025 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BCBA PHD |
| Sole proprietor | No |
| NPI issued | Sep 7, 2023 |
| Last updated in NPPES | Sep 19, 2024 |
| Certified by provider | Sep 7, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 332649 | NY |
| Behavior Analyst | 103K00000X | 1-20-44673 | GA |
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 Practitioner - Clinical Psychologist (NY) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Pediatric Service GroupSyracuse, NY · 12 clinicians
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