Pediatric Autism Clinical & Evaluation Services LLC
NPI 1689198194ActiveOrganization· Psychologist, Clinical· Augusta, GA
Psychologist, Clinical in Augusta, Georgia, registered in NPPES in July 2017. The authorized official on file is Stephanie Anne Northington, PHD, Psychologist/Partner.
Overview
| NPI | 1689198194 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2017 |
| Last updated in NPPES | Jul 8, 2021 |
| Certified by provider | Jul 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | — | GA |
| Behavior Analyst | 103K00000X | — | GA |
| Behavior Technician | 106S00000X | — | GA |
| Occupational Therapist | 225X00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | — | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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