Individual provider Active NPI

Marie Margenau-Spatz, PH.D.

  • Psychologist
  • New York, NY
National Provider Identifier
1376691493
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
007805 Issued in NY
Practice address
65 W 55TH St
Suite 4B
New York, NY 10019-4913
Phone
(212) 757-5755
Fax
(212) 956-5655
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 007805 NY Primary

Addresses

Primary practice location

65 W 55TH St
Suite 4B
New York, NY 10019-4913

Mailing address

29 Hughes Ter
Yonkers, NY 10701-1744
Phone (914) 963-1636

Other identifiers 1

IdentifierTypeStateIssuer
007805OtherNYNYS PSYCHOLOGIST LICENSE

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
007805NYMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376691493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 HUGHES TER",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011744",
            "telephone_number": "914-963-1636",
            "fax_number": "914-963-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 W 55TH ST",
            "address_2": "SUITE 4B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100194913",
            "telephone_number": "212-757-5755",
            "fax_number": "212-956-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGENAU-SPATZ",
        "first_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "007805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS PSYCHOLOGIST LICENSE",
            "identifier": "007805",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.