Collaborative Psych Consulting LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

COLLABORATIVE PSYCH CONSULTING LLC

Practice address

36 Thompson Ave
White Plains, NY 10603-3313

Phone

(914) 438-4801

Fax

(702) 935-8966

NPI assigned

Jan 4, 2022

Last updated

Jan 4, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert SpanoNPI 1205168556

Title

Owner

Phone

(914) 438-4801

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert John Spano, FNP-C APRN

  • Family Nurse Practitioner
  • White Plains, NY
  • NPI 1205168556
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1144981010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 THOMPSON AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033313",
            "telephone_number": "914-438-4801",
            "fax_number": "702-935-8966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 THOMPSON AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033313",
            "telephone_number": "914-438-4801",
            "fax_number": "702-935-8966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE PSYCH CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A",
        "authorized_official_last_name": "SPANO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-438-4801"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Robert Coleman, PH.D.
• Keli Anne Coletti, MA, CCC-SLP, TSLD
• Suzanne Colgan, FNP
• Lisa Rebecca Coll, LMHC
• Ernest A Collabolletta, PSY.D.
• Cristina Collazo, CASAC
• John Collini, NP
• Stefon J Collymore
• Corina Colon
• Iveliz Colon

• Psychiatric/Mental Health Nurse Practitioner in White Plains, NY
• Providers in White Plains, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.