Individual provider Active NPI

Anne M. Fors Spahr, PH.D.

  • Psychologist
  • Milwaukee, WI
National Provider Identifier
1083737068
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1923 Issued in WI
Practice address
5303 W North Ave
Milwaukee, WI 53208-1021
Phone
(414) 445-0997
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1923 WI Primary

Addresses

Primary practice location

5303 W North Ave
Milwaukee, WI 53208-1021

Mailing address

1587 S Moorland Rd
#107
New Berlin, WI 53151-1586
Phone (262) 782-0280

Other identifiers 2

IdentifierTypeStateIssuer
39117400MedicaidWI
914666100MedicaidMN

Other names 1

  • Dr. Anne M. Fors Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 4, 2025 through Aug 4, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
825NMMDAcupuncturist
1923WIMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Changequest, LLC CurrentSince Sep 1, 2024 Accepting new patients
Northern Crossing Behavioral Health Services, LLC Past Accepting new patients
Northern Crossing Behavioral Health Services, LLC Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230508800000",
    "number": "1083737068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1587 S MOORLAND RD",
            "address_2": "#107",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531511586",
            "telephone_number": "262-782-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 W NORTH AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532081021",
            "telephone_number": "414-445-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAHR",
        "first_name": "ANNE",
        "middle_name": "M. FORS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "1923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39117400",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "914666100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "FORS",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.