Active NPI
Robert Michael Spanicciati, CAP
- Addiction (Substance Use Disorder) Counselor
- West Palm Beach, FL
National Provider Identifier
1174065122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 4392
- Practice address
- 1280 N Congress Ave
Suite 108a
West Palm Beach, FL 33409-6377 - Phone
- (561) 228-1598
- Fax
- (844) 715-4884
- NPI assigned
- Nov 8, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4392 | FL | Primary |
Addresses
Primary practice location
1280 N Congress Ave
Suite 108a
West Palm Beach, FL 33409-6377
Mailing address
1280 N Congress Ave
Suite 108
West Palm Beach, FL 33409-6377
Phone (561) 228-1598
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4392 | FL | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerge Recovery Wellness | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Emerge Recovery Associates
- Primary Care Clinic/Center
- West Palm Beach, FL
- NPI 1740720234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1174065122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 N CONGRESS AVE",
"address_2": "SUITE 108",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096377",
"telephone_number": "561-228-1598",
"fax_number": "844-715-4884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1280 N CONGRESS AVE",
"address_2": "SUITE 108A",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334096377",
"telephone_number": "561-228-1598",
"fax_number": "844-715-4884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANICCIATI",
"first_name": "ROBERT",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "CAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-08",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "4392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.