Andrew Spaedy, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

ME167278 Issued in FL

Practice address

2701 NW 2ND Ave Ste 118
Boca Raton, FL 33431-6707

Phone

(954) 501-0054

Fax

(561) 769-3598

NPI assigned

Apr 17, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Beach View Psych LLC

  • Psychiatry Physician
  • Boca Raton, FL
  • NPI 1184451122
  NPD Authorized official

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1609439561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 NW 2ND AVE STE 118",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316707",
            "telephone_number": "561-556-8276",
            "fax_number": "561-769-3598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 NW 2ND AVE STE 118",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316707",
            "telephone_number": "954-501-0054",
            "fax_number": "561-769-3598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAEDY",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-17",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME167278",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME167278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southshore Opticians Boca Inc
• Souto Counseling and Consulting
• Priscilla J Souto, LPC
• Kristen Souza, LMHC
• SP Consultants Corporation
• Serena Spaleny
• Spanish River Church
• Spark ABA Therapy LLC
• Sparking Change LLC
• Tammy Sparks

• Psychiatry Physician in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Psychiatry Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.