John Michael Spores, PH.D., J.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20040638A Issued in IN

Practice address

3349 Willowcreek Rd
Valparaiso, IN 46368-5015

Phone

(219) 762-9556

Fax

(219) 762-7318

NPI assigned

Oct 5, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor, Doctor of Philosophy

Practice roles

Locations

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.

• Porter-Starke Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valparaiso, IN
  • NPI 1689627598
  Medicare reassignment NPD
• Spores Psychological and Legal Services

  • Clinical Psychologist
  • Valparaiso, IN
  • NPI 1225820665
  NPD Authorized official
• Porter-Starke Services Inc.

  • Federally Qualified Health Center (FQHC)
  • Valparaiso, IN
  • NPI 1659196236
  NPD

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1730176587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 SHERWOOD DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463852819",
            "telephone_number": "219-762-9556",
            "fax_number": "219-762-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 WILLOWCREEK RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463685015",
            "telephone_number": "219-762-9556",
            "fax_number": "219-762-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPORES",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D., J.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040638A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Spevak, LCSW
• Ambria Spicer
• Brooke Spitler-Nigh, LMHCA
• Melanie Sue Splitgerber, FNP-BC
• Spores Psychological and Legal Services
• Teri Ann Spratley, PTA
• Allison Spruell
• Samantha Sriplo
• St Margaret Mercy Healthcare Centers, Inc.
• Joseph Stabler, OTA

• Clinical Psychologist in Valparaiso, IN
• Providers in Valparaiso, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.