Annette C. Spencer, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301009811 Issued in MI

Practice address

999 Haynes St
Ste 345
Birmingham, MI 48009-6703

Phone

(248) 593-5557

Fax

(248) 594-7313

NPI assigned

Sep 21, 2006

Last updated

Feb 14, 2017By the provider in NPPES

Sex

Female

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

Enrolled in MI

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1235238627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST",
            "address_2": "STE 345",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096703",
            "telephone_number": "248-885-2956",
            "fax_number": "248-481-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 HAYNES ST",
            "address_2": "STE 345",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096703",
            "telephone_number": "248-593-5557",
            "fax_number": "248-594-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "ANNETTE",
        "middle_name": "C.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301009811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11289458",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Franklin R Sollars, PHD
• Shelley Sollars, MA, LLP
• David J Song, M.D.
• Specialists in Psychiatric Pharmacology PLLC
• Tammy Pingitore Speir, LMSW
• David Vincent Spurlin, M.D.
• Stacey M Goldfine DO PLLC
• Mary Bruce Stallard, NP
• David P. Stanislaw, M.S.W.
• Patricia A. Stanko, LCSW

• Clinical Psychologist in Birmingham, MI
• Providers in Birmingham, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.