Individual provider Active NPI

Rachel Ann Spero-Hoy, PHD

  • Psychologist
  • Puyallup, WA
National Provider Identifier
1417323551
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY61596003 Issued in WA
Practice address
12602 106TH Avenue CT E
Puyallup, WA 98374-2711
Phone
(253) 231-1617
NPI assigned
Aug 12, 2015
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY61596003 WA Primary

Addresses

Primary practice location

12602 106TH Avenue CT E
Puyallup, WA 98374-2711

Mailing address

12602 106TH Avenue CT E
Puyallup, WA 98374-2711
Phone (253) 231-1617

Other names 1

  • Rachel Ann Spero Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 27, 2024 through Nov 27, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY61596003WAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1417323551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12602 106TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742711",
            "telephone_number": "253-231-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12602 106TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983742711",
            "telephone_number": "253-231-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERO-HOY",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY61596003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SPERO",
            "middle_name": "ANN",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.