Patricia Spargo, PH.D. – Clinical Psychologist

Key facts

NPI: 1407008774
Entity type: Individual (NPI type 1)
Primary specialty: Clinical Psychologist 103TC0700X
License: 010823 (NY)
Practice address: 58 Old Stone Hill Rd
Pound Ridge, NY 10576-1515
Phone: (914) 764-1133
Fax: (914) 764-1133
NPI assigned: Oct 18, 2008
Sex: Female
Sole proprietor: Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Philosophy

State licenses

License	State	Type	Specialty
010823	NY	MD	Physician Assistant

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinical Psychologist	103TC0700X	010823	NY	Yes

Addresses

Primary practice location

58 Old Stone Hill Rd
Pound Ridge, NY 10576-1515

Mailing address

58 Old Stone Hill Rd
Pound Ridge, NY 10576-1515
Phone (914) 764-1133

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 18, 2008.

{
    "created_epoch": "1224288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224288000000",
    "number": "1407008774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 OLD STONE HILL RD",
            "city": "POUND RIDGE",
            "state": "NY",
            "postal_code": "105761515",
            "telephone_number": "914-764-1133",
            "fax_number": "914-764-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 OLD STONE HILL RD",
            "city": "POUND RIDGE",
            "state": "NY",
            "postal_code": "105761515",
            "telephone_number": "914-764-1133",
            "fax_number": "914-764-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARGO",
        "first_name": "PATRICIA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-18",
        "last_updated": "2008-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "010823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pound Ridge, NY

All providers in Pound Ridge, NY · Clinical Psychologist in New York

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 18, 2008. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.