Fradi Spilberg, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

01202 Issued in MO

Practice address

12255 De Paul Dr Ste 490
Bridgeton, MO 63044-2513

Phone

(314) 344-7770

Fax

(314) 298-0556

NPI assigned

Jul 18, 2005

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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 MO

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 1

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Louis Behavioral Health Services LLCGroup PAC ID 9830336288, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

• St. Louis Behavioral Health Services, LLC

  • Psychiatry Physician
  • Bridgeton, MO
  • NPI 1487994877
  Medicare reassignment Care Compare group NPD
• County of St Louis Division of Fiscal Management

  dba John C. Murphy Health Center

  • Federally Qualified Health Center (FQHC)
  • Berkeley, MO
  • NPI 1184519506
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1184623787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12255 DE PAUL DR STE 490",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442513",
            "telephone_number": "314-344-7770",
            "fax_number": "314-298-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12255 DE PAUL DR STE 490",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442513",
            "telephone_number": "314-344-7770",
            "fax_number": "314-298-0556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12255 Depaul Hills Drive",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "63044",
            "country_code": "US",
            "telephone_number": "314-344-7770",
            "fax_number": "314-344-7774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12255 Depaul Hills Drive",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "63044",
            "country_code": "US",
            "telephone_number": "314-344-7770",
            "fax_number": "314-344-7774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPILBERG",
        "first_name": "FRADI",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "01202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Zackary Souvannarath
• Tanisha Ashley Spears
• Specialist in Aging Successfully LLC
• Cynthia D. Spence
• Craig A Spiegel, M.D.
• Michelle Spond
• Katherine Louise Sprock, RD LD
• Anil Kumar Srivastava, MD
• SSM Cardiovascular and Thoracic Services, Inc.
• SSM Depaul Health Center

• Psychologist in Bridgeton, MO
• Providers in Bridgeton, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.