Elliot Straub Spengler, M.A.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

200 White Spruce Blvd Ste 220
Rochester, NY 14623-1605

Phone

(585) 201-8017

NPI assigned

Jul 11, 2019

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

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Genesee Valley Psychology, PLLC

  • Adult Mental Health Clinic/Center
  • Rochester, NY
  • NPI 1679114169

  Psychologist

  Medicare reassignment NPD
• Harry M. Barsuk, LMHC, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Geneseo, NY
  • NPI 1043981731
  NPD (past)
• Meridian Psychology Practice, PLLC

  • Clinical Psychologist
  • Geneseo, NY
  • NPI 1043921984
  NPD (past)
• Vascular Surgery of the University

  • Vascular Surgery Physician
  • Rochester, NY
  • NPI 1053332189
  NPD (past)

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1427600303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CRITTENDEN BLVD BOX PSYCH",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-324-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WHITE SPRUCE BLVD STE 220",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231605",
            "telephone_number": "585-201-8017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 South St",
            "address_purpose": "LOCATION",
            "city": "Geneseo",
            "state": "NY",
            "postal_code": "144541310",
            "country_code": "US",
            "telephone_number": "585-770-7190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPENGLER",
        "first_name": "ELLIOT",
        "middle_name": "STRAUB",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-11",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Spencer, LMHC
• Sarah Van Cleve Spencer, PHD
• Stephen Spencer, PT
• Tanisha Clara Spencer, LPN
• Victoria Spencer, P.N.P.
• Brett Michael Spenrath
• Jenny R Speranza, M.D.
• India Sperato Indelicato, RN
• David N. Sperber, M.D.
• Emily Fox Sperber

• Psychologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.