| Provider Name | License Number | NPI Number | Provider Type | Exclusion Effective Date | SSN/FEIN |
| ADVANCED PSYCHOTHERAPY AND BEHAVIOR | | 1316271554 | Psychotherapy Business | 09/02/2025 | Verify |
| ARNETTE DYOVAHNI | | | Direct Support Professional | 09/09/2025 | Verify |
| BAVIS MEGAN | | | Inpatient Counselor | 09/01/2025 | Verify |
| BERG ERIK | | | Other | 09/01/2025 | Verify |
| BK PSYCHOTHERAPY LCSW SERVICES PC | | 1285903138 | Psychotherapy Business | 09/02/2025 | Verify |
| BROOKLYN PSYCHOTHERAPY LCSW SERVICE | | 1134788540 | Psychotherapy Business | 09/02/2025 | Verify |
| CONZO THOMAS | | | Pharmacy Owner | 08/18/2025 | Verify |
| COOK TERRI | | | Behavorial Health Technician | 09/09/2025 | Verify |
| DURINKA JOEL BREMER | 00296064 | 1144541343 | Physician | 08/18/2025 | Verify |
| ESTRELLA WILKINS | | | Hospital Clerk | 09/02/2025 | Verify |
| GARVEY JOHN | | | Addiction Counselor 3 | 09/09/2025 | Verify |
| GONZALES ROBERT | | | Social Worker Assistant | 09/09/2025 | Verify |
| GOULD AMANDA | 00607317 | | Registered Nurse | 09/01/2025 | Verify |
| ISENHART PATRICK | | | Clinical Coordinator | 09/02/2025 | Verify |
| KALRA RITESH MD | 00243355 | 1043436348 | Physician | 08/18/2025 | Verify |
| LAKESIDE TAXI AND MEDICAL TRANSPORT | | | Transportation Company | 09/02/2025 | Verify |
| LAM EVE | | | Caregiver | 08/18/2025 | Verify |
| LUEHRSEN MICHAEL | | | Pharmaceutical Sales Rep | 09/09/2025 | Verify |
| MAK HONG YUEN AKA/DBA JOE MAK | 00306422 | 1437568383 | Nurse Practitioner-Adult Health | 08/18/2025 | Verify |
| MANAEV BORIS | 00781489 | | Registered Nurse | 08/18/2025 | Verify |
| MARTE CHARLENE | | | Other | 09/02/2025 | Verify |
| NZONE PHARMACY LLC | | 1013394659 | Pharmacy | 08/18/2025 | Verify |
| OCH MOHAMAD MD | | 1629098496 | Physician | 09/01/2025 | Verify |
| ONOUFRIENKO JASON | | | Owner-Durable Medical Equipment Business | 08/18/2025 | Verify |
| OTERO BRYAN | | | OTHER | 09/09/2025 | Verify |
| PERLIN MARTIN MD | 00131163 | 1326062597 | Physician | 09/02/2025 | Verify |
| POLISHCHUK VADIM | 00723322 | | Registered Nurse | 09/01/2025 | Verify |
| RENWICK EDWARD | | | Developmental Assistant | 09/01/2025 | Verify |
| SARIN HEMANT | 00266313 | | Physician | 09/09/2025 | Verify |
| STEENBURG SETH | 00639133 | | Registered Nurse | 09/09/2025 | Verify |
| STEPHAN WILLIAM H MD | 00171247 | 1952370173 | Physician | 09/09/2025 | Verify |
| WALKER LARRY | | | Behavioral Health Technician | 09/01/2025 | Verify |
| WASHINGTON CIERA | | | OTHER | 09/09/2025 | Verify |
| WHITE RAVEN | | | OTHER | 09/09/2025 | Verify |
| WOODS MICHAEL | | | Direct Support Assistant | 09/01/2025 | Verify |
| YOUNG JESSICA | | | Custodian | 09/09/2025 | Verify |