Individual provider Active NPI

Jeffrey Franklin Spar, PH.D.

  • Clinical Psychologist
  • Miami, FL
National Provider Identifier
1053440784
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Practice address
9485 SW 72ND St
Suite A222
Miami, FL 33173-3242
Phone
(305) 279-0007
Fax
(305) 279-7407
NPI assigned
Mar 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 FL Primary

Addresses

Primary practice location

9485 SW 72ND St
Suite A222
Miami, FL 33173-3242

Mailing address

9485 SW 72ND St
Suite A222
Miami, FL 33173-3242
Phone (305) 279-0007

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
000002616FLMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053440784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9485 SW 72ND ST",
            "address_2": "SUITE A222",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733242",
            "telephone_number": "305-279-0007",
            "fax_number": "305-279-7407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9485 SW 72ND ST",
            "address_2": "SUITE A222",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733242",
            "telephone_number": "305-279-0007",
            "fax_number": "305-279-7407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAR",
        "first_name": "JEFFREY",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.