Individual provider Active NPI

Robert P Sprafkin, PHD

  • Psychologist
  • Syracuse, NY
National Provider Identifier
1336149541
Registry record updated Dec 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
004308 Issued in NY
Practice address
600 South Wilbur Ave
Syracuse, NY 13204-2730
Phone
(315) 476-7441
Fax
(315) 476-1582
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 004308 NY Primary

Addresses

Primary practice location

600 South Wilbur Ave
Syracuse, NY 13204-2730

Mailing address

23 Sunset Ter.
Baldwinsville, NY 13027-1111
Phone (315) 625-8321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Dewitt Counseling Services LCSW PC Past Accepting new patients
Barbara J. Miller, M.D., P.C. Past Accepting new patients
State of New York Comptrollers Office Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1336149541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 SUNSET TER.",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130271111",
            "telephone_number": "315-625-8321",
            "fax_number": "315-472-2513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SOUTH WILBUR AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042730",
            "telephone_number": "315-476-7441",
            "fax_number": "315-476-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRAFKIN",
        "first_name": "ROBERT",
        "middle_name": "P",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "004308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.