Spark Healthcare LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SPARK HEALTHCARE LLC

Doing business as

Spark Mental Health

Practice address

8906 North 80TH Place
Scottsdale, AZ 85258-2132

Phone

(602) 962-6515

Fax

(602) 962-6515

NPI assigned

Jun 16, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Ralph John Massetti Jr.

Title

Ceo

Phone

(480) 227-0630

Specialties & licenses 1

Addresses

Other names 1

• Spark Mental Health Doing business as

Locations

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1174148076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 E VIA DE VENTURA STE F110-301",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583188",
            "telephone_number": "602-962-6515",
            "fax_number": "602-962-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 NORTH 80TH PLACE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852582132",
            "telephone_number": "602-962-6515",
            "fax_number": "602-962-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "MASSETTI",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-227-0630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spark Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosalie Anne Spada, PA-C
• Jenifer M Spadafore, P.A.-C.
• Joshua P Spade, PHARMD
• Broegan Spangler, RBT
• Christine Sparacino, PSY.D.
• Sparkovate
• Maddison Sparks
• Paige Sparks, DNP, APRN, FNP-BC
• Ladonna Spatari, MMP, LMT
• Maureen Spataro, MS/CCC-SLP

• Psychiatry Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.