Edward George Spencer Jr., PHD

Primary specialty

Family PsychologistTaxonomy code 103TF0000X

License

PSY10491 Issued in CA

Practice address

2945 Harding St
Ste 104
Carlsbad, CA 92008-1818

Phone

(760) 736-9161

NPI assigned

Aug 12, 2006

Last updated

May 1, 2017By the provider in NPPES

Sex

Male

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 CA

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

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493596800000",
    "number": "1336151216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 EL PATO CT",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920094309",
            "telephone_number": "760-736-9161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2945 HARDING ST",
            "address_2": "STE 104",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920081818",
            "telephone_number": "760-736-9161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "EDWARD",
        "middle_name": "GEORGE",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2017-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY10491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Itzamara Sparks
• Michelle Yennhi Spatz
• Speech Bubbles Pediatric Speech Therapy Inc
• Sarah Speers, AMFT
• Christopher Nawn Spellman, M.D.
• Ronae Spencer, LPC
• Sydney Spencer, DC
• Melissa Kay Sprague, D.O.
• Zachary Thomas Sprague, D.O.
• Sean Sprigle

• Family Psychologist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Family Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.