Beacon Pediatric Behavioral Health
NPI 1770838872ActiveOrganization· Psychologist· Jacksonville, FL
Psychologist in Jacksonville, Florida, registered in NPPES in July 2012. The authorized official on file is Adrienne Leigh Desantis King, PHD, BCBA-D, NCSP, Managing Member/Owner/Psychologist.
Overview
| NPI | 1770838872 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 16, 2012 |
| Last updated in NPPES | Jun 16, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | — | — |
| Behavior Analyst | 103K00000X | — | — |
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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