Rikki Magdalene Baer Spencer, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

29477 Issued in CA

Practice address

624 Diamond St
San Diego, CA 92109-2444

Phone

(747) 258-0280

NPI assigned

Sep 25, 2015

Last updated

Jan 13, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rikki Spencer Pashen Former name

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Clinical Psychologist

Education

Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/29a5ccea-f4ab-4447-a191-56b20695970f/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD
• Los Angeles County Department of Mental Health

  dba GENESIS Countywide Older Adult Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1083633929
  Medicare reassignment NPD
• San Diego Therapy Center Inc.

  • Clinical Psychologist
  • Alpine, CA
  • NPI 1306117981
  Medicare reassignment NPD
• Adventist Health Mendocino Coast

  dba Mendocino Coast District Hospital

  • Rural Health Clinic/Center
  • Fort Bragg, CA
  • NPI 1124220249
  NPD
• Adventist Health Mendocino Coast

  dba Mendocino Coast District Hospital

  • Critical Access Hospital
  • Fort Bragg, CA
  • NPI 1538113725
  NPD
• Los Angeles County Department of Mental Health

  dba DMH DHS Collaboration Long Beach

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Long Beach, CA
  • NPI 1134424252
  NPD
• Los Angeles County Department of Mental Health

  dba Arcadia Mental Health Center-Full Service Partnership

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arcadia, CA
  • NPI 1902676075
  NPD

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

{
    "created_epoch": "1443139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1760852321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 DIAMOND ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092444",
            "telephone_number": "747-258-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 DIAMOND ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092444",
            "telephone_number": "747-258-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "RIKKI MAGDALENE",
        "middle_name": "BAER",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-25",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10201",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RIKKI",
            "last_name": "PASHEN",
            "middle_name": "SPENCER",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lauren Spencer
• Lindsay Clarrette Spencer
• Marques Spencer
• Mykael Spencer, RN
• Rickey Spencer
• Semajanae Simone Spencer
• Nathan Mark Spengler, MD
• Effie P Spentzos, PHARMD
• David Michael Spera, D.D.S.
• Gregory Sperber, BMBS, DAOM, LAC

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.