Organization Active NPI

Catherine Selth Spayd PHD PC

  • Clinical Psychologist
  • Duncansville, PA
National Provider Identifier
1518028562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS006177L Issued in PA
Legal business name
CATHERINE SELTH SPAYD PHD PC
Practice address
841 Third Avenue
Duncansville, PA 16635-1424
Phone
(814) 693-0617
Fax
(814) 693-0617
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Catherine S Spayd, PHDNPI 1902076540
Title
Ceo
Phone
(814) 693-0617

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PS006177L PA Primary

Addresses

Primary practice location

841 Third Avenue
Duncansville, PA 16635-1424

Mailing address

841 Third Avenue
Duncansville, PA 16635-1424
Phone (814) 693-0617

Other identifiers 3

IdentifierTypeStateIssuer
01704924MedicaidPA
211350OtherPAUPMC
715807OtherPAHIGHMARK BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080409000235 PA Part B Supplier - Clinic/Group Practice 3072690411 Receives reassigned benefits from 1 practitioner
Practice locations: Duncansville, PA

National Provider Directory

National Provider Directory

Locations

841 3rd Ave
Duncansville, PA 16635
Phone (814) 515-4181

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518028562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 THIRD AVENUE",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166351424",
            "telephone_number": "814-693-0617",
            "fax_number": "814-693-0617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 THIRD AVENUE",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166351424",
            "telephone_number": "814-693-0617",
            "fax_number": "814-693-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE SELTH SPAYD PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPAYD",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-693-0617",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS006177L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01704924",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "211350",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "715807",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncansville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.

Verify at the official NPI Registry.