Hai-Van Karin Sponholz

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

21407 Issued in CA

Practice address

617 Veterans Blvd
Suite 204
Redwood City, CA 94063

Phone

(650) 503-8179

NPI assigned

Sep 5, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jun 23, 2022 through Jun 23, 2028

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.

• The Wise Mind Institute, a Psychological Corporation

  • Psychologist
  • Redwood City, CA
  • NPI 1174990360
  NPD (past)

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

{
    "created_epoch": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467970921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 VETERANS BLVD STE 204",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631419",
            "telephone_number": "650-503-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 VETERANS BLVD",
            "address_2": "SUITE 204",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-503-8179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONHOLZ",
        "first_name": "HAI-VAN",
        "middle_name": "KARIN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "21407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skyler Spears
• Amanda Speedy
• Karla Priscilla Spinelli Machado Martins
• Rose Spinna
• Tatiana Worobey Spirtos, M.D.
• Sports Orthopedic and Rehabilitation Medicine Associates
• Pallavi Basu Sprau, MD
• Spring Day Wellness LLC
• Anna Springer, RN
• Zandalee Springs

• Clinical Psychologist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.