Organization Active NPI

Vicinity Therapy

  • Psychologist
  • West Deptford, NJ
National Provider Identifier
1235958968
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
VICINITY THERAPY
Practice address
297 Westwood Dr Ste 103
West Deptford, NJ 08096-3144
Phone
(732) 655-4235
NPI assigned
Oct 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Christoph Spanos, BS, MA, PSYDNPI 1578241212
Title
Clinical Psychologist
Phone
(732) 655-4235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

297 Westwood Dr Ste 103
West Deptford, NJ 08096-3144

Mailing address

2105 Lexington Mews
Swedesboro, NJ 08085-1348
Phone (732) 655-4235

Other practice location 1

2105 Lexington Mews
Swedesboro, NJ 08085-1348
Phone (732) 655-4235

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1235958968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 LEXINGTON MEWS",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851348",
            "telephone_number": "732-655-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "297 WESTWOOD DR STE 103",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963144",
            "telephone_number": "732-655-4235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2105 Lexington Mews",
            "address_purpose": "LOCATION",
            "city": "Swedesboro",
            "state": "NJ",
            "postal_code": "080851348",
            "country_code": "US",
            "telephone_number": "732-655-4235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VICINITY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "SPANOS",
        "authorized_official_first_name": "CHRISTOPH",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "732-655-4235",
        "authorized_official_credential": "BS, MA, PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.