Melissa Spivey

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

CB61395037 Issued in WA

Practice address

5101 S Freya St
Spokane, WA 99223-7111

Phone

(509) 903-5269

NPI assigned

Apr 10, 2023

Last updated

Apr 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northern Pines ABA

  • Behavior Analyst
  • Spokane, WA
  • NPI 1023600244
  NPD
• Northern Pines Academy

  • Behavior Analyst
  • Spokane, WA
  • NPI 1063153286
  NPD

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1609561182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30395",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992233006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 S FREYA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992237111",
            "telephone_number": "509-903-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "MELISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "WA",
            "license": "CB61395037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spine-D LLC
• Jennifer Spink, ARNP
• Bobbie Spiro
• Daniel Kenneth Spitz
• Jonathan Spitz, MD
• Melissa J. Spivey, M. ED
• Rachael Marie Spivey, LICSW
• Ali Spleiss, P.A.
• Melinda Spohn, PHD, LMHC
• Spokane Addiction Recovery Centers

• Behavior Technician in Spokane, WA
• Providers in Spokane, WA by specialty
• Behavior Technician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.