Ohioguidestone
NPI 1609123728ActiveOrganization· Pediatrics, Developmental - Behavioral Pediatrics· Berea, OH
Pediatrics, Developmental - Behavioral Pediatrics in Berea, Ohio, registered in NPPES in August 2012. The authorized official on file is Mandy Jackson, Billing Supervisor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1609123728 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 8, 2012 |
| Last updated in NPPES | Nov 20, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics Primary | 2080P0006X | — | — |
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) |
|---|