1. Home
  2. Directory
  3. Virginia
  4. Lynchburg
  5. Psychiatry Neurology
  6. NPI Profile

AUTISM DIAGNOSTIC CENTER
NPI 1609818293
Psychiatry & Neurology - Child & Adolescent Psychiatry in Lynchburg, VA

Active since June 11, 2006
693 LEESVILLE RD, LYNCHBURG, VA 24502(434) 200-5700 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Autism Diagnostic Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AUTISM DIAGNOSTIC CENTER (NPI 1609818293) is a healthcare organization registered as a child & adolescent psychiatry in Lynchburg, Virginia and active in the NPI registry since June 2006. The organization lists Lewis Addison, Sr Vp Cfo, as its authorized official.

NPPES Registry Identity

NPI1609818293
Entity TypeOrganization
Primary Taxonomy2084P0804X
Legal Business NameCENTRA MEDICAL GROUP, LLC
Location Address693 LEESVILLE RDLynchburg, VA 24502-2828
Mailing Address2010 Atherholt RdLynchburg, VA 24501-1106
Phone(434) 200-5700
Organization SubpartYes
Authorized OfficialLewis AddisonSr Vp Cfo · (434) 200-5047
Enumeration DateJune 11, 2006
Last NPPES UpdateJanuary 15, 2014
✔ NPI 1609818293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Definition
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.
693 LEESVILLE RD, Lynchburg, VA 24502
Open in Google Maps ↗

Other Names 1

Doing Business AsAutism Diagnostic Center

Other Identifiers 1

Medicare PINC09704

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY NICOLE SMITH
Counselor
693 LEESVILLE RD
LYNCHBURG, VA 24502
Lynchburg City (434) 200-5850
SUSAN M SISK
Speech-Language Pathologist
693 LEESVILLE RD
LYNCHBURG, VA 24502
Lynchburg City (434) 947-5700
SAVANNAH OLMSTEAD
Behavior Technician
693 LEESVILLE RD
LYNCHBURG, VA 24502
Lynchburg City (434) 200-5750
MORIAH LIN CLARKE
Behavior Technician
693 LEESVILLE RD
LYNCHBURG, VA 24502
Lynchburg City (434) 200-5750
DANYELLE SMITH BEHAVIOR ANAYLST
Behavior Analyst
693 LEESVILLE RD
LYNCHBURG, VA 24502
Lynchburg City (434) 841-0161
ISAIAH RALPH HODGE
Behavior Technician
693 LEESVILLE RD
LYNCHBURG, VA 24502
Lynchburg City (434) 200-5750
ZACHARY C BIRD BCBA
Behavior Analyst
693 LEESVILLE RD
LYNCHBURG, VA 24502
Lynchburg City (434) 200-7519
LAURYSSA AYNSLEY MILNER
Counselor
693 LEESVILLE RD
LYNCHBURG, VA 24502
Lynchburg City (434) 200-5149

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 Centra Medical Group, LLC's NPI number?

The NPI number for Centra Medical Group, LLC is 1609818293. It was assigned to this organization in the NPPES registry on June 11, 2006. The provider is doing business as Autism Diagnostic Center.

Where is Centra Medical Group, LLC located?

Centra Medical Group, LLC is located at 693 Leesville Rd, Lynchburg, VA 24502. The listed phone number is (434) 200-5700.

What is Centra Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

When was this NPI record last updated?

The NPPES record for Centra Medical Group, LLC was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.