Kimberly Spanjol, PH.D., BCBA-D, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

005431 Issued in NY

Practice address

300 W 145TH St
7C
New York, NY 10039-3142

Phone

(917) 536-6728

NPI assigned

Jun 21, 2014

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

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1403308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403308800000",
    "number": "1619382389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W 145TH ST",
            "address_2": "7C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100393142",
            "telephone_number": "917-536-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 145TH ST",
            "address_2": "7C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100393142",
            "telephone_number": "917-536-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANJOL",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PH.D., BCBA-D, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-21",
        "last_updated": "2014-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Spanbock, LMSW
• Steven David Spandorfer, M.D.
• Rigmor Elizabeth Spang
• Leila Spangler, RN
• Alma Spaniardi, M.D.
• Michele N. Spann
• Paul Salvatore Spano, M.A.
• Priscilla Victoria Spano, OTR/L
• Catherine Spanondis, RN, FNP, BC
• Jessica Lauren Sparacio

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2014; 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.