SPECTRUM TRANSFORMATION GROUP, LLC
NPI 1174855985
Psychologist - Cognitive & Behavioral in North Chesterfield, VA
About Spectrum Transformation Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPECTRUM TRANSFORMATION GROUP, LLC (NPI 1174855985) is a healthcare organization registered as a cognitive & behavioral in North Chesterfield, Virginia and active in the NPI registry since February 2010. The organization lists Cedric Moore, Chief Executive Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Spectrum Transformation Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Spectrum Transformation Group, LLC, which bills Medicare for the services they deliver. Of these, 9 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (12)
Henrico, VA 23228
Midlothian, VA 23114
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Spectrum Transformation Group, LLC's NPI number?
The NPI number for Spectrum Transformation Group, LLC is 1174855985. It was assigned to this organization in the NPPES registry on February 3, 2010.
Where is Spectrum Transformation Group, LLC located?
Spectrum Transformation Group, LLC is located at 221 Stonebridge Plaza Ave Ste C, North Chesterfield, VA 23225. The listed phone number is (804) 378-6141.
What is Spectrum Transformation Group, LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.
Is Spectrum Transformation Group, LLC enrolled in Medicare?
Yes. Spectrum Transformation Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Spectrum Transformation Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Spectrum Transformation Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Clinical Psychologist (4) and Occupational Therapist in Private Practice (2). Of these, 9 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Spectrum Transformation Group, LLC was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Spectrum Transformation Group, Llc · NPI 1174855985
Cognitive & Behavioral organization in North Chesterfield, Virginia. Organization record, active in the CMS NPPES registry since February 3, 2010.
## Identity
- **NPI:** 1174855985 (Entity type: Organization)
- **Enumerated:** February 3, 2010
- **Primary specialty:** Psychologist - Cognitive & Behavioral · taxonomy 103TB0200X
- **Organization subpart:** No
- **Authorized official:** Cedric Moore, CHIEF EXECUTIVE OFFICER
## Practice location
- **Address:** 221 STONEBRIDGE PLAZA AVE STE C, North Chesterfield, VA 23225-6972
- **Phone:** (804) 378-6141
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Clinical Psychologist (4), Occupational Therapist in Private Practice (2); 9 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 17, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1174855985) · Data from the CMS NPPES public registry.