Individual provider Active NPI

Arthur S. Spangler Jr., SC.D. (PH.D. EQUIV.)

  • Clinical Psychologist
  • Quincy, MA
National Provider Identifier
1720171226
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4259 Issued in MA
Practice address
36 Weston Ave
Mass Bay Counseling
Quincy, MA 02170-1833
Phone
(617) 786-0137
Fax
(617) 479-4798
NPI assigned
Oct 2, 2006
Sex
Male
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
Clinical Psychologist 103TC0700X 4259 MA Primary

Addresses

Primary practice location

36 Weston Ave
Mass Bay Counseling
Quincy, MA 02170-1833

Mailing address

36 Weston Ave
Mass Bay Counseling
Quincy, MA 02170-1833
Phone (617) 786-0137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070822001336 MA Practitioner - Clinical Psychologist 4688766629

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Psychiatric Services, PC PastSince Apr 3, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720171226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WESTON AVE",
            "address_2": "MASS BAY COUNSELING",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021701833",
            "telephone_number": "617-786-0137",
            "fax_number": "617-479-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WESTON AVE",
            "address_2": "MASS BAY COUNSELING",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021701833",
            "telephone_number": "617-786-0137",
            "fax_number": "617-479-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGLER",
        "first_name": "ARTHUR",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "SC.D. (PH.D. EQUIV.)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "4259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.