Victor Frank Spatafora, DOCTOR OF PSYCHOLOGY

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071007958 Issued in IL

Practice address

633 Rogers St
Suite 111
Downers Grove, IL 60515-3782

Phone

(773) 814-7434

NPI assigned

Jun 20, 2009

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

Enrolled in IL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Davken Associates, P.C.Group PAC ID 8820901861, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Davken Associates, P.C.

  • Clinical Psychologist
  • Deerfield, IL
  • NPI 1457393159
  Medicare reassignment Care Compare group NPD
• Northwest Chiropractix Inc.

  • Chiropractor
  • Chicago, IL
  • NPI 1487701892
  NPD (past)

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

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1104053826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 N CAMPBELL AVE",
            "address_2": "APT. 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223536",
            "telephone_number": "773-814-7434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 ROGERS ST",
            "address_2": "SUITE 111",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153782",
            "telephone_number": "773-814-7434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATAFORA",
        "first_name": "VICTOR",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "DOCTOR OF PSYCHOLOGY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-20",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071007958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Joseph Sowa, R.PH.
• Elizabeth Sowa, MSN, ANP-BC
• Barbara Ryan Spall
• Jill O. Sparacio, OTR/L, ATP
• Sparkle Dental Group LLC
• Jamie Specht
• Spectrum Diagnostic Imaging Inc
• Speech and Swallow Center PLLC
• Alexandra Speer, PA-C
• Drauseo T Speratti, DMD

• Clinical Psychologist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.