Active NPI
Joseph M Spector, PH D
- Psychologist
- Davis, CA
National Provider Identifier
1275549271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY9009
- Practice address
- 2050 Lyndell Terr
Suite 130
Davis, CA 95616-6205 - Phone
- (530) 759-1929
- Fax
- (530) 759-1929
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY9009 | CA | Primary |
Addresses
Primary practice location
2050 Lyndell Terr
Suite 130
Davis, CA 95616-6205
Mailing address
2050 Lyndell Terr
Suite 130
Davis, CA 95616-6205
Phone (530) 759-1929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ66488Z | Other | CA | BLUE SHIELD |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY9009 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis Counseling Mediation & Advocacy Center | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Marriage & Family Therapist
- Davis, CA
- NPI 1164547154
Psychologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275549271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 LYNDELL TERR",
"address_2": "SUITE 130",
"city": "DAVIS",
"state": "CA",
"postal_code": "956166205",
"telephone_number": "530-759-1929",
"fax_number": "530-759-1929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 LYNDELL TERR",
"address_2": "SUITE 130",
"city": "DAVIS",
"state": "CA",
"postal_code": "956166205",
"telephone_number": "530-759-1929",
"fax_number": "530-759-1929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPECTOR",
"first_name": "JOSEPH",
"middle_name": "M",
"credential": "PH D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY9009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ66488Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.