Individual provider Active NPI

Robert Steven Spitalnik, PH.D.

  • Psychologist
  • Roslyn Heights, NY
National Provider Identifier
1720103757
Registry record updated Aug 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
005473 Issued in NY
Practice address
1 Entrance Rd
Roslyn Heights, NY 11577-1505
Phone
(516) 484-2899
NPI assigned
Mar 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 005473 NY Primary

Addresses

Primary practice location

1 Entrance Rd
Roslyn Heights, NY 11577-1505

Mailing address

1 Entrance Rd
Roslyn Heights, NY 11577-1505
Phone (516) 484-2899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2013 through Jan 1, 2027

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281052800000",
    "number": "1720103757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ENTRANCE RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771505",
            "telephone_number": "516-484-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ENTRANCE RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771505",
            "telephone_number": "516-484-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPITALNIK",
        "first_name": "ROBERT",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "005473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

Verify at the official NPI Registry.