Stephanie Basilia Spanos, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

217578 Issued in NY

Practice address

21 Lake St Apt 3a
White Plains, NY 10603-3830

Phone

(917) 674-9342

NPI assigned

May 25, 2008

Last updated

Aug 7, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• LMC Physician Services, PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1346256104

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1211673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438905600000",
    "number": "1518125707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 LAKE ST APT 3A",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033830",
            "telephone_number": "917-674-9342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LAKE ST APT 3A",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106033830",
            "telephone_number": "917-674-9342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANOS",
        "first_name": "STEPHANIE",
        "middle_name": "BASILIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-25",
        "last_updated": "2015-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "217578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Leslie Southwick, M.D.
• Christopher A Sowley, CP
• Eldar Spahic, DNP
• Paul Moreno Spano, PT, DPT
• Robert John Spano, FNP-C APRN
• Candice W Sparkman, LMSW
• Brittany Lynn Spataro, M.S., CCC-SLP
• Laura Ann Specht, OTR/L
• Speech and Language Therapy Enrichement Programs
• Natalie Rose Spence

• Psychiatry Physician in White Plains, NY
• Providers in White Plains, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.