Philip B Spivey, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

8471 Issued in NY

Practice address

25 W 132ND St
Apt 11E
New York, NY 10037-3205

Phone

(212) 873-4803

Fax

(212) 694-5701

NPI assigned

Dec 8, 2006

Sex

Male

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1306905740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W 132ND ST",
            "address_2": "APT 11E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373205",
            "telephone_number": "212-873-4803",
            "fax_number": "212-694-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W 132ND ST",
            "address_2": "APT 11E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100373205",
            "telephone_number": "212-873-4803",
            "fax_number": "212-694-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "PHILIP",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "8471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alla Spivak, D.O.
• Jeffrey Michael Spivak, MD
• William Spivak, M.D.
• Scott J. Spivey Provencio, MD, MPHIL
• Christy Leeanne Spivey, OTR/L
• Amy Lynn Spizuoco, D.O.
• Stacy Anne Spizuoco, D.D.S.
• Megan Splain
• Emily Marie Splichal, DPM
• Veronika Splichalova, LMT

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.