NPIMap

Organization Active NPI

Spectrum Psychology Services, PLLC

  • Clinical Psychologist
  • Fountain Hills, AZ
National Provider Identifier
1770520116
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
013294 Issued in NY
Legal business name
SPECTRUM PSYCHOLOGY SERVICES, PLLC
Practice address
16108 E Emerald Dr Unit 204
Fountain Hills, AZ 85268-5424
Phone
(516) 978-8294
NPI assigned
Jun 2, 2006
Last updated
Feb 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Anthony V Santoro, PSYDNPI 1912941352
Title
Psychologist
Phone
(516) 978-8294

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 013294 NY Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

16108 E Emerald Dr Unit 204
Fountain Hills, AZ 85268-5424

Mailing address

16108 E Emerald Dr Unit 204
Fountain Hills, AZ 85268-5424
Phone (516) 978-8294

National Provider Directory

National Provider Directory

Locations

111 Smithtown Byp
Ste 121
Hauppauge, NY 11788
Phone (631) 742-8523

111 Smithtown Byp
Smithtown, NY 11788
Phone (516) 695-1696

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1770520116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16108 E EMERALD DR UNIT 204",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852685424",
            "telephone_number": "516-978-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16108 E EMERALD DR UNIT 204",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852685424",
            "telephone_number": "516-978-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PSYCHOLOGY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "SANTORO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "516-978-8294",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013294",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.