Spectrum Psychology Services, PLLC

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

Organization subpart

No

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

Authorized official

Name

Anthony V Santoro, PSYD

Title

Psychologist

Phone

(516) 978-8294

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dawn M Cuglietto, PSY.D.

  • Psychologist
  • Bayside, NY
  • NPI 1013000504
  NPD (past)
• Debra Lynn Dombrowski, MSED, MPS

  • School Psychologist
  • Commack, NY
  • NPI 1700016748
  NPD (past)
• Jennifer Anne Flynn, PH.D.

  • Psychologist
  • Port Jefferson, NY
  • NPI 1558491787
  NPD (past)
• Eric Bernard Selesner, PSY.D

  • Psychologist
  • New York, NY
  • NPI 1104984731
  NPD (past)
• Joan Wertheim, PHD

  • Psychologist
  • New York, NY
  • NPI 1114956455
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02773311",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Fountain Hills, AZ
• Clinical Psychologist in Arizona

• 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.