Matt Karl Spottek

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004206 Issued in NY

Practice address

35 Front St
Binghamton, NY 13905-4703

Phone

(607) 722-9190

Fax

(607) 722-6245

NPI assigned

Feb 14, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 11, 2024 through Jan 11, 2028

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.

• Validation Counseling Services LCSW PLLC

  • Clinical Social Worker
  • Binghamton, NY
  • NPI 1013516038
  NPD (past)

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

{
    "created_epoch": "1518566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518566400000",
    "number": "1285134478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 AHERN RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139036520",
            "telephone_number": "607-760-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 FRONT ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139054703",
            "telephone_number": "607-722-9190",
            "fax_number": "607-722-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOTTEK",
        "first_name": "MATT",
        "middle_name": "KARL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-14",
        "last_updated": "2018-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Sperber, RN
• Jack Alexander Sperling, MSW LCSW
• Mary B Spilde, LCSW-R
• Tyler Spires
• Steven L Spivak, DO
• Brandi E Sprague, LPN
• Leila Squier, LMSW
• Balaji Subramanian Srinivasa Sekaran
• Anna Srivastava
• Katherine Botash St Cyr

• Mental Health Counselor in Binghamton, NY
• Providers in Binghamton, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.