Anthony A Spaniol, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY4719 Issued in FL

Practice address

125 W Indiantown Rd
Suite 203-a
Jupiter, FL 33458-3556

Phone

(561) 747-0258

Fax

(561) 747-0258

NPI assigned

Oct 8, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Nancy Marie Vrechek

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jupiter, FL
  • NPI 1942611413
  NPD (past)

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1396996450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W INDIANTOWN RD",
            "address_2": "SUITE 203-A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583556",
            "telephone_number": "561-747-0258",
            "fax_number": "561-747-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W INDIANTOWN RD",
            "address_2": "SUITE 203-A",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583556",
            "telephone_number": "561-747-0258",
            "fax_number": "561-747-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANIOL",
        "first_name": "ANTHONY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY4719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "59369",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Home Care Services, Inc.
• Debora Souza, LMT
• Michael Robert Sovis, NP
• Caroline Poryles Soyka, D.O.
• Arion Span, DPT
• Lindsey Spaniol
• Samuel Albin Spear, M.D.
• Lynne Curtis Spears, MSW, LCSW
• David William Specian Jr.
• Specs and Winks

• Psychologist in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; 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.