David Spangler PHD Inc

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY20649 Issued in CA

Legal business name

DAVID SPANGLER PHD INC

Practice address

6 Medical Plaza Dr
Roseville, CA 95661-3037

Phone

(530) 613-8131

NPI assigned

Sep 10, 2012

Organization subpart

No

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

Authorized official

Name

David Spangler, PHDNPI 1770642779

Title

President

Phone

(530) 613-8131

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Spangler, PHD

  • Clinical Neuropsychologist
  • Auburn, CA
  • NPI 1770642779
  Medicare reassignment Care Compare group NPD Authorized official
• Lee H Pickett, PH.D.

  • Psychologist
  • Represa, CA
  • NPI 1194900241
  Medicare reassignment Care Compare group NPD
• Kimberly Elizabeth Lanni, PH.D.

  • Clinical Neuropsychologist
  • Roseville, CA
  • NPI 1437587615
  Medicare reassignment NPD

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1306195094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 NANCY DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956028881",
            "telephone_number": "530-613-8131",
            "fax_number": "916-878-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MEDICAL PLAZA DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613037",
            "telephone_number": "530-613-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SPANGLER PHD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "SPANGLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-613-8131",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY20649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jovelyn A Dattolico, RPH
• Pauldeen Mikail Davejan
• Dominique Antoinette Davett
• David F Shirley M D P C
• David Scott Dental Corp
• Floyd Carlton David, MD
• Kayla Ann David
• Maria Anna Leah Moncada David, OTR
• Meghan Norton Davignon, MD
• Nestor Saul Davila-Carranza, LCSW

• Clinical Neuropsychologist in Roseville, CA
• Providers in Roseville, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.