Dennis U Spjut, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0256 Issued in TN

Practice address

732 E Jefferson St
Dennis Spjut PHD
Jefferson City, TN 37760

Phone

(865) 475-8631

Fax

(865) 475-8631

NPI assigned

Sep 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720188600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 E JEFFERSON ST",
            "address_2": "DENNIS SPJUT PHD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "37760",
            "telephone_number": "865-475-8631",
            "fax_number": "865-475-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 E JEFFERSON ST",
            "address_2": "DENNIS SPJUT PHD",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "37760",
            "telephone_number": "865-475-8631",
            "fax_number": "865-475-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPJUT",
        "first_name": "DENNIS",
        "middle_name": "U",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "0256",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "00197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Jefferson City, TN
• Providers in Jefferson City, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.