Individual provider Active NPI

Julia E Speicher, MD

  • Psychiatry Physician
  • Poughkeepsie, NY
National Provider Identifier
1669574463
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1616757 Issued in NY
Practice address
510 Haight Ave
Suite 102
Poughkeepsie, NY 12603-2464
Phone
(845) 485-3506
Fax
(845) 485-8780
NPI assigned
Sep 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 1616757 NY Primary

Addresses

Primary practice location

510 Haight Ave
Suite 102
Poughkeepsie, NY 12603-2464

Mailing address

20 Davis Ave
Poughkeepsie, NY 12603-2408
Phone (845) 485-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070324000030 NY Practitioner - Psychiatry 5698879013 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1616757NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Psychiatry, PC Psychiatry CurrentSince Apr 30, 2003 Accepting new patients
Spectrum Behavioral Management Services, Inc. Psychiatry CurrentSince Dec 6, 2006 Accepting new patients

Locations

230 Aaron Ct
Kingston, NY 12401
Phone (845) 331-1079

20 Davis Ave
Poughkeepsie, NY 12603
Phone (845) 485-3500

510 Haight Ave
Ste 102
Poughkeepsie, NY 12603
Phone (845) 485-3500

514 Haight Ave
Poughkeepsie, NY 12603
Phone (845) 485-3500

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

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669574463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DAVIS AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032408",
            "telephone_number": "845-485-3500",
            "fax_number": "845-485-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 HAIGHT AVE",
            "address_2": "SUITE 102",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032464",
            "telephone_number": "845-485-3506",
            "fax_number": "845-485-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEICHER",
        "first_name": "JULIA",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "1616757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.