Adreanna Bartholome Spears, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

KY-1607 Issued in KY

Practice address

8001 Magnolia Ridge CT
Unit 203
Louisville, KY 40291-6768

Phone

(502) 439-3412

Fax

(502) 365-2241

NPI assigned

Jan 27, 2014

Sex

Female

Sole proprietor

Yes

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

Enrolled in KY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Therapeutic Intervention Services

  • Community/Behavioral Health Agency
  • Louisville, KY
  • NPI 1932467867
  Medicare reassignment

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

{
    "created_epoch": "1390780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1326461328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 MAGNOLIA RIDGE CT",
            "address_2": "UNIT 203",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402916768",
            "telephone_number": "502-439-3412",
            "fax_number": "502-365-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 MAGNOLIA RIDGE CT",
            "address_2": "UNIT 203",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402916768",
            "telephone_number": "502-439-3412",
            "fax_number": "502-365-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARS",
        "first_name": "ADREANNA",
        "middle_name": "BARTHOLOME",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-27",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "KY-1607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvin Spear, OT
• Douglas J Spear, MA CCC A
• Krista S Spear
• Megan Spear
• Jennifer Lauren Spearman, DPT
• Amy Spears, PHARMD, BCPS
• Donna R Spears, APN
• Janie Spears, MS, ATC, CSCS
• Ronald L Spears, M.D.
• Sarah R Spears, OTR

• Clinical Psychologist in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.