Howard B. Spivak, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC22496 Issued in CA

Practice address

1792 Tribute Rd
Suite 350
Sacramento, CA 95815-4305

Phone

(916) 536-2434

Fax

(916) 536-2454

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053446385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 TRIBUTE RD",
            "address_2": "SUITE 350",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154305",
            "telephone_number": "916-536-2434",
            "fax_number": "916-536-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 TRIBUTE RD",
            "address_2": "SUITE 350",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958154305",
            "telephone_number": "916-536-2434",
            "fax_number": "916-536-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVAK",
        "first_name": "HOWARD",
        "middle_name": "B.",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC22496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Spitler II
• Trisha Lea Spitt
• Deanna Renee Spittles
• Lily Spitzen, LCSW
• Sarah Spivack
• Jeanine Spivey, RN, BSN
• Jonathan Spivey
• Sabria Delois Spivey
• Hannah Elizabeth Spooner
• Julie A. Sporrer, MD

• Mental Health Counselor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Mental Health Counselor in California

• 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.