Mary Beth Spitznagel, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

6123 Issued in OH

Practice address

75 Arch St
Suite G2
Akron, OH 44304-1429

Phone

(330) 375-3747

Fax

(330) 375-4939

NPI assigned

Oct 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1659453033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1462",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442240462",
            "telephone_number": "330-379-8148",
            "fax_number": "330-379-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ARCH ST",
            "address_2": "SUITE G2",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041429",
            "telephone_number": "330-375-3747",
            "fax_number": "330-375-4939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITZNAGEL",
        "first_name": "MARY",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "6123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2877552",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen S. Spinelli, BASW, LSW
• Nicholas J. Spirtos, DO
• Dalia M Spisak, MSN,RN,CPNP
• Jeffrey Dennis Spitaleri III
• Kathleen Elizabeth Spitz, MD
• Jason Edward Spivey Sr., M.D.
• Alexis Spizarny
• Yonatan Spolter, M.D.
• Tawnaray H Sponseller
• Chelsea Spoonamore

• Clinical Neuropsychologist in Akron, OH
• Providers in Akron, OH by specialty
• Clinical Neuropsychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.