Stacey L. Spencer, ED.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00560000 Issued in NJ

Practice address

50 Cherry Hill Road
305
Maplewood, NJ 07040

Phone

(973) 257-9000

Fax

(973) 257-0506

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Laurel Chandler MD PLLC

  • Plastic Surgery Physician
  • Wilton, CT
  • NPI 1073177184
  NPD (past)
• Neuropsychology Consultants, LLC

  • Clinical Neuropsychologist
  • Wilton, CT
  • NPI 1942208814
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1295899771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CHERRY HILL ROAD",
            "address_2": "305",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "07040",
            "telephone_number": "973-257-9000",
            "fax_number": "973-257-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CHERRY HILL ROAD",
            "address_2": "305",
            "city": "MAPLEWOOD",
            "state": "NJ",
            "postal_code": "07040",
            "telephone_number": "973-257-9000",
            "fax_number": "973-257-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "STACEY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00560000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Sowah
• Soya Physical Therapy LLC
• Michael J Soya, PT, DPT
• Jenna Spak
• Adanika Lashawn Speid, BT
• Leslie Anne Springer, LCSW
• Sri Medical Center, Inc
• Ratnesh Kumar Srivastava, OTR
• Anetude St Jean
• Fernande St Jean

• Clinical Psychologist in Maplewood, NJ
• Providers in Maplewood, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.