Individual provider Active NPI

Selena Spencer, ED.S., NCSP

  • School Psychologist
  • Lewis Center, OH
National Provider Identifier
1275145252
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
21569992 Issued in OH
Practice address
7840 Graphics Way
Lewis Center, OH 43035-8002
Phone
(740) 657-4966
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 21569992 OH Primary

Addresses

Primary practice location

7840 Graphics Way
Lewis Center, OH 43035-8002

Mailing address

7840 Graphics Way
Lewis Center, OH 43035-8002
Phone (740) 657-4966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21569992OHMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Olentangy Local School District CurrentSince Mar 17, 2024 Accepting new patients
Achieve Psychological and Academic Services LLC School Past Accepting new patients

Locations

7840 Graphics Way
Lewis Center, OH 43035
Phone (740) 657-3330

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1275145252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7840 GRAPHICS WAY",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358002",
            "telephone_number": "740-657-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7840 GRAPHICS WAY",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430358002",
            "telephone_number": "740-657-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SELENA",
        "name_prefix": "Ms.",
        "credential": "ED.S., NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "21569992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewis Center, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.