Active NPI
Robert H Spiro, PH.D.
- Clinical Psychologist
- Boca Raton, FL
National Provider Identifier
1730188376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY9850
- Practice address
- 4800 N Federal Hwy Ste 102E
Boca Raton, FL 33431-5179 - Phone
- (413) 441-9261
- Fax
- (561) 361-0409
- NPI assigned
- Jul 15, 2005
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY9850 | FL | Primary |
Addresses
Primary practice location
4800 N Federal Hwy Ste 102E
Boca Raton, FL 33431-5179
Mailing address
4800 N Federal Hwy Ste 102E
Boca Raton, FL 33431-5179
Phone (413) 441-9261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2022 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9850 | FL | MD | Psychologist |
| 1696 | MA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1730188376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N FEDERAL HWY STE 102E",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334315179",
"telephone_number": "413-441-9261",
"fax_number": "561-361-0409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 N FEDERAL HWY STE 102E",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334315179",
"telephone_number": "413-441-9261",
"fax_number": "561-361-0409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPIRO",
"first_name": "ROBERT",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY9850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.