Ivan C. Spector, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G5633 Issued in TX

Practice address

3100 Weslayan St
#350
Houston, TX 77027-5727

Phone

(713) 963-0769

Fax

(713) 963-8536

NPI assigned

Oct 25, 2007

Last updated

Jun 1, 2012By the provider in NPPES

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

Other names 1

• Ivan C Spector Professional name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: Addiction Medicine

Education

University of Texas Medical School at Houston, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ivan C Spector MD PAGroup PAC ID 1052574399, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivan C Spector MD PA

  • Psychiatry Physician
  • Houston, TX
  • NPI 1801961818
  Medicare reassignment Care Compare group NPD Authorized official
• Michael E. Buxbaum, D.O. P.a.

  • Adult Medicine Physician
  • Houston, TX
  • NPI 1023284221
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1124207279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WESLAYAN ST",
            "address_2": "#350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275727",
            "telephone_number": "713-963-0769",
            "fax_number": "713-963-8536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 WESLAYAN ST",
            "address_2": "#350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770275727",
            "telephone_number": "713-963-0769",
            "fax_number": "713-963-8536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECTOR",
        "first_name": "IVAN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-25",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "G5633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVAN",
            "last_name": "SPECTOR",
            "middle_name": "C",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Olivia Specks, CHNP
• Spectera
• Spectera
• Spectera
• Spectera
• Spectracell Laboratories, Inc.
• Spectrum Care P.a.
• Spectrum Dental Group (VanEenenaam, William)
• Spectrum Eye Care
• Spectrum Eye Care

• Psychiatry Physician in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.