Active NPI
Edward Huland Spain, PH. D.
- Clinical Neuropsychologist
- Suffolk, VA
National Provider Identifier
1518077007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0810002426
- Practice address
- 424 N Main St
Suite #4
Suffolk, VA 23434-4428 - Phone
- (757) 539-9458
- Fax
- (757) 539-9468
- NPI assigned
- Aug 30, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 0810002426 | VA | Primary |
| Clinical Psychologist | 103TC0700X | 0810002426 | VA |
Addresses
Primary practice location
424 N Main St
Suite #4
Suffolk, VA 23434-4428
Mailing address
PO Box 1066
Suffolk, VA 23439-1066
Phone (757) 539-9458
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 088631 | Other | VA | SENTARA |
| 283200 | Other | VA | BLUE CROSS BLUE SHIELD |
| 443602 | Other | VA | PHP-MD, MAMSI, ETC. NUMBE |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810002426 | VA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1518077007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1066",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234391066",
"telephone_number": "757-539-9458",
"fax_number": "757-539-9468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 N MAIN ST",
"address_2": "SUITE #4",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234344428",
"telephone_number": "757-539-9458",
"fax_number": "757-539-9468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAIN",
"first_name": "EDWARD",
"middle_name": "HULAND",
"credential": "PH. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "VA",
"license": "0810002426",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002426",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "088631",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "283200",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHP-MD, MAMSI, ETC. NUMBE",
"identifier": "443602",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.