Individual provider Active NPI

Roxanne L Spence, MA LLP

  • Psychologist
  • Lansing, MI
National Provider Identifier
1295769420
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301013205 Issued in MI
Practice address
2800 W Willow St
Lansing, MI 48917-1833
Phone
(517) 323-4734
Fax
(517) 886-1158
NPI assigned
Jul 11, 2006
Last updated
Mar 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301013205 MI Primary

Addresses

Primary practice location

2800 W Willow St
Lansing, MI 48917-1833

Mailing address

2800 W Willow St
Lansing, MI 48917-1833
Phone (517) 323-4734

Other practice location 1

677A East Main
Centreville, MI 49032
Phone (269) 467-1000

Other identifiers 1

IdentifierTypeStateIssuer
1708146MedicaidMI

Other names 1

  • Mrs. Roxanne L Arnett Former name

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301013205MIMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1295769420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W WILLOW ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171833",
            "telephone_number": "517-323-4734",
            "fax_number": "517-886-1158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W WILLOW ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489171833",
            "telephone_number": "517-323-4734",
            "fax_number": "517-886-1158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "677A East Main",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "MI",
            "postal_code": "49032",
            "country_code": "US",
            "telephone_number": "269-467-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "ROXANNE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MA LLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1708146",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "ARNETT",
            "middle_name": "L",
            "prefix": "MRS.",
            "credential": "MA LLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.