Active NPI
Stephanie J. Spackey, LTD.
- Clinical Psychologist
- Naperville, IL
National Provider Identifier
1306048772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- STEPHANIE J. SPACKEY, LTD.
- Practice address
- 445 W Jackson Ave Ste 206
Naperville, IL 60540-5258 - Phone
- (630) 420-2596
- Fax
- (630) 420-2796
- NPI assigned
- Jun 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephanie Joy Spackey, PSY.D.
- Title
- President
- Phone
- (630) 420-2596
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | IL | Primary |
Addresses
Primary practice location
445 W Jackson Ave Ste 206
Naperville, IL 60540-5258
Mailing address
445 W Jackson Ave Ste 206
Naperville, IL 60540-5258
Phone (630) 420-2596
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1306048772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 W JACKSON AVE STE 206",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405258",
"telephone_number": "630-420-2596",
"fax_number": "630-420-2796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 W JACKSON AVE STE 206",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605405258",
"telephone_number": "630-420-2596",
"fax_number": "630-420-2796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHANIE J. SPACKEY, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SPACKEY",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_middle_name": "JOY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-420-2596",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.