Active NPI
Sarah Van Cleve Spencer, PHD
- Clinical Child & Adolescent Psychologist
- Rochester, NY
National Provider Identifier
1447516679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Practice address
- 315 Science Pkwy
Suite 100
Rochester, NY 14620-4257 - Phone
- (585) 279-7800
- NPI assigned
- Apr 2, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary |
Addresses
Primary practice location
315 Science Pkwy
Suite 100
Rochester, NY 14620-4257
Mailing address
315 Science Pkwy
Suite 100
Rochester, NY 14620-4257
Phone (585) 279-7800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1447516679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 SCIENCE PKWY",
"address_2": "SUITE 100",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204257",
"telephone_number": "585-279-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 SCIENCE PKWY",
"address_2": "SUITE 100",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146204257",
"telephone_number": "585-279-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "SARAH",
"middle_name": "VAN CLEVE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-04-02",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.