AUTISM DIAGNOSTIC CENTER – NPI #1609818293
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

AUTISM DIAGNOSTIC CENTER is a psychiatry & neurologist located in LYNCHBURG, VA. NPPES has assigned the NPI number 1609818293 to AUTISM DIAGNOSTIC CENTER on June 11, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AUTISM DIAGNOSTIC CENTER” is a dba name, the actual legal business name for this organization is CENTRA MEDICAL GROUP, LLC. The primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

The NPI profile was previously updated about 12 years ago on Jan 15, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AUTISM DIAGNOSTIC CENTER below.

NPI Profile for
CENTRA MEDICAL GROUP, LLC

NPI Number
1609818293
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRA MEDICAL GROUP, LLC
Doing Business As (dba): AUTISM DIAGNOSTIC CENTER
Primary location
693 LEESVILLE RD
LYNCHBURG, VA 24502-2828
Phone: (434) 200-5700 Fax:
Mailing address
2010 ATHERHOLT RD
LYNCHBURG, VA 24501-1106
Phone: Fax:
Organization Subpart
Yes - AUTISM DIAGNOSTIC CENTER is subpart of another organization.
Authorized Official
LEWIS ADDISON
SR VP CFO
Phone: (434) 200-5047
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.