Individual provider Active NPI

Spencer James Cruz-Katz, PHD

  • Clinical Psychologist
  • Charlottesville, VA
National Provider Identifier
1023372109
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1023372109 Issued in VA
Practice address
675 Peter Jefferson Pkwy Ste 130
Charlottesville, VA 22911-8618
Phone
(804) 491-8036
NPI assigned
Jul 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1023372109 VA Primary

Addresses

Primary practice location

675 Peter Jefferson Pkwy Ste 130
Charlottesville, VA 22911-8618

Mailing address

808 Raymond Rd
Charlottesville, VA 22902-6013
Phone (917) 324-2762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1023372109VAMDClinical Psychologist

Interoperability endpoints

  • Direct secure messaging: commonwealthcounselingassociates.spencerkatzcruz@134000.advancedmd-direct.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1023372109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 RAYMOND RD",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229026013",
            "telephone_number": "917-324-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 PETER JEFFERSON PKWY STE 130",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118618",
            "telephone_number": "804-491-8036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-KATZ",
        "first_name": "SPENCER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "1023372109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.