Active NPI
Erika Beth Stapert-Spivack, PSY.D.
- Psychologist
- Yonkers, NY
National Provider Identifier
1508097965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 019279
- Practice address
- 35 Dock St
Yonkers, NY 10701-2733 - Phone
- (914) 965-1109
- Fax
- (914) 965-9705
- NPI assigned
- Aug 4, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 019279 | NY | Primary |
Addresses
Primary practice location
35 Dock St
Yonkers, NY 10701-2733
Mailing address
19 Greenridge Ave
White Plains, NY 10605-1201
Phone (914) 965-1109
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00355940 | Other | NY | AGENCY MEDICAID ID |
| WVE061 | Other | NY | AGENCY MEDICARE ID |
| 1285628552 | Other | NY | AGENCY NPI # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555027200000",
"number": "1508097965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 GREENRIDGE AVE",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106051201",
"telephone_number": "914-965-1109",
"fax_number": "914-997-7942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 DOCK ST",
"city": "YONKERS",
"state": "NY",
"postal_code": "107012733",
"telephone_number": "914-965-1109",
"fax_number": "914-965-9705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAPERT-SPIVACK",
"first_name": "ERIKA",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-04",
"last_updated": "2019-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "019279",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY MEDICAID ID",
"identifier": "00355940",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY MEDICARE ID",
"identifier": "WVE061",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AGENCY NPI #",
"identifier": "1285628552",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.