Individual provider Active NPI

Michelle Lee Spomer, PH.D.

  • Clinical Psychologist
  • Arlington, MA
National Provider Identifier
1568430478
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
8538 Issued in MA
Practice address
366 Massachusetts Ave
Suite 303
Arlington, MA 02474-6733
Phone
(781) 648-3200
Fax
(781) 648-3201
NPI assigned
Mar 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 8538 MA Primary

Addresses

Primary practice location

366 Massachusetts Ave
Suite 303
Arlington, MA 02474-6733

Mailing address

366 Massachusetts Ave
Suite 303
Arlington, MA 02474-6733
Phone (781) 648-3200

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

LicenseStateTypeSpecialty
8538MAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Newton-Wellesley Behavioral Medicine & Eating Disorders Clinical Past Accepting new patients
Newton-Wellesley Eating Disorders & Behavioral Medicine Clinical Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245628800000",
    "number": "1568430478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 MASSACHUSETTS AVE",
            "address_2": "SUITE 303",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024746733",
            "telephone_number": "781-648-3200",
            "fax_number": "781-648-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 MASSACHUSETTS AVE",
            "address_2": "SUITE 303",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024746733",
            "telephone_number": "781-648-3200",
            "fax_number": "781-648-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPOMER",
        "first_name": "MICHELLE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2009-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "8538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.