Active NPI
Child and Family Psychologists PA
- Clinical Child & Adolescent Psychologist
- Plantation, FL
National Provider Identifier
1477535706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- Legal business name
- CHILD AND FAMILY PSYCHOLOGISTS PA
- Practice address
- 350 NW 70TH Ave
Ste a
Plantation, FL 33317-2349 - Phone
- (954) 587-7520
- Fax
- (954) 587-7527
- NPI assigned
- Nov 14, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mitchell E Spero, PSY D
- Title
- Director/Owner
- Phone
- (954) 587-7520
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
350 NW 70TH Ave
Ste a
Plantation, FL 33317-2349
Mailing address
350 NW 70TH Ave Ste a
Plantation, FL 33317-2349
Phone (954) 587-7520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73376 | Other | FL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
350 NW 70th Ave
#A
Plantation, FL 33317
Phone (954) 587-7520
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Plantation, FL
- NPI 1699756635
-
- Clinical Social Worker
- Boca Raton, FL
- NPI 1932165917
-
- Clinical Psychologist
- Burlington, VT
- NPI 1215957717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292198400000",
"number": "1477535706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 NW 70TH AVE STE A",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172349",
"telephone_number": "954-587-7520",
"fax_number": "954-587-7527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 NW 70TH AVE",
"address_2": "STE A",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333172349",
"telephone_number": "954-587-7520",
"fax_number": "954-587-7527"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILD AND FAMILY PSYCHOLOGISTS PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-14",
"last_updated": "2010-12-13",
"status": "A",
"authorized_official_last_name": "SPERO",
"authorized_official_first_name": "MITCHELL",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DIRECTOR/OWNER",
"authorized_official_telephone_number": "954-587-7520",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY D"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "73376",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.