Active NPI
David B Spano, PHD
- Psychologist
- Land O' Lakes, FL
National Provider Identifier
1689297921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3004
- Practice address
- 18538 Coastal Shore Ter
Land O Lakes, FL 34638-0164 - Phone
- (704) 641-6809
- Fax
- (704) 396-8698
- NPI assigned
- May 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 3004 | NC | Primary |
Addresses
Primary practice location
18538 Coastal Shore Ter
Land O Lakes, FL 34638-0164
Mailing address
3205 N McDowell St
Charlotte, NC 28205-1552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3004 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David B Spano PHD PLLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Land O' Lakes, FL
- NPI 1801696075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1689297921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3205 N MCDOWELL ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282051552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18538 COASTAL SHORE TER",
"city": "LAND O LAKES",
"state": "FL",
"postal_code": "346380164",
"telephone_number": "704-641-6809",
"fax_number": "704-396-8698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANO",
"first_name": "DAVID",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-21",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "3004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Angela Patricia Sommers Cormier, PA-C
- Wilfredo Soto
- Maia Sparrow
- Speech Connection LLC
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- Audrey M Spirakis, LCSW
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.