Melvin Spann, CASAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

23224 Issued in NY

Practice address

175 Remsen St
Suite 1010
Brooklyn, NY 11201-4333

Phone

(718) 852-5552

NPI assigned

Jul 21, 2014

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bridge Back to Life Center, Inc.

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1336566694
  NPD (past)
• Bridge Back to Life Center, Inc.

  • Multi-Specialty Clinic/Center
  • Bethpage, NY
  • NPI 1518918101

  Addiction (Substance Use Disorder)

  NPD (past)

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1194132282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 BAINBRIDGE ST",
            "address_2": "APT 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112332010",
            "telephone_number": "718-852-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 REMSEN ST",
            "address_2": "SUITE 1010",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112014333",
            "telephone_number": "718-852-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANN",
        "first_name": "MELVIN",
        "credential": "CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "23224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CASAC",
            "identifier": "23224",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Spampanato, M.S., CCC-SLP, TSSLD
• Rachel D Spangenthal, NP
• Spanish Speaking Ederly Council-Raices
• Spanish Speaking Elderly Council- Raices
• Spanish Speaking Elderly Council-Raices,Inc.
• Cristina Francesca Spano, MS, RDN, CDN
• Julianne Spano
• Laura A. Spano, M.D.
• Jenna Marie Sparacio
• Melissa Sparacio, MD

• Addiction (Substance Use Disorder) Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.