Active NPI
John Spencer, NP
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
National Provider Identifier
1487019634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F401947-1
- Practice address
- 420 E 76TH St
New York, NY 10021-3396 - Phone
- (212) 434-5301
- NPI assigned
- Dec 15, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F401947-1 | NY | Primary |
Addresses
Primary practice location
420 E 76TH St
New York, NY 10021-3396
Mailing address
2422 Stuart Ave
Apt 2a
Richmond, VA 23220-3414
Phone (804) 307-1355
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- State University of New York at Stony Brook, School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
160 W 86 St
New York, NY 10024-4018
Phone 2128751300508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F401947-1 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Gracie Square Hospital Inc | Current | Accepting new patients | |
| Lauter Medical PLLC | Current | Accepting new patients | |
| Metropolitan Center for Mental Health, Inc. | Current | Accepting new patients | |
| Families and Individuals in Recovery | Current | Accepting new patients |
Locations
420 E 76th St
New York, NY 10021
Phone (212) 434-5300
48 W 21st St
Fl 4
New York, NY 10010
Phone (646) 593-1221
Interoperability endpoints
- jos9254@direct.nyp.org
Organizations & group practices 4
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.
-
- Group Psychotherapy Psychologist
- New York, NY
- NPI 1275695371
-
- Psychiatry Physician
- New York, NY
- NPI 1548149990
-
- Psychiatric Hospital
- New York, NY
- NPI 1215911946
-
dba Metropolitan Center for Mental Health
- Addiction (Substance Use Disorder) Psychologist
- New York, NY
- NPI 1841354370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1487019634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2422 STUART AVE",
"address_2": "APT 2A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232203414",
"telephone_number": "804-307-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 E 76TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100213396",
"telephone_number": "212-434-5301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPENCER",
"first_name": "JOHN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-12-15",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F401947-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.