Individual provider Active NPI

Lynne Weiner Spencer, RN, LLP

  • Psychologist
  • Chelsea, MI
National Provider Identifier
1043867443
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301011478 Issued in MI
Practice address
134 W Middle St Ste H
Chelsea, MI 48118-1647
Phone
(734) 719-0380
NPI assigned
Aug 20, 2019
Last updated
Aug 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301011478 MI Primary

Addresses

Primary practice location

134 W Middle St Ste H
Chelsea, MI 48118-1647

Mailing address

134 W Middle St Ste H
Chelsea, MI 48118-1647
Phone (734) 719-0380

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
Master of Arts, Registered Nurse

State licenses

LicenseStateTypeSpecialty
6301011478MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Timber Creek Foundation CurrentSince Feb 11, 2024 Accepting new patients

Locations

134 W Middle St
Ste H
Chelsea, MI 48118
Phone (734) 719-0197

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1043867443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 W MIDDLE ST STE H",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181647",
            "telephone_number": "734-719-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 W MIDDLE ST STE H",
            "city": "CHELSEA",
            "state": "MI",
            "postal_code": "481181647",
            "telephone_number": "734-719-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "LYNNE",
        "middle_name": "WEINER",
        "name_prefix": "Ms.",
        "credential": "RN, LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301011478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chelsea, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.