Individual provider Active NPI

Jason Spielman, PSY.D.

  • Cognitive & Behavioral Psychologist
  • Boca Raton, FL
National Provider Identifier
1811437247
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
PY6853 Issued in FL
Practice address
9325 Glades Rd Ste 208
Boca Raton, FL 33434-3988
Phone
(561) 600-9959
Fax
(561) 600-9988
NPI assigned
Mar 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X PY6853 FL Primary

Addresses

Primary practice location

9325 Glades Rd Ste 208
Boca Raton, FL 33434-3988

Mailing address

9325 Glades Rd Ste 208
Boca Raton, FL 33434-3988
Phone (561) 600-9959

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY6853FLMDCognitive & Behavioral Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ellr, P.a. Cognitive & Behavioral Current Accepting new patients
Mjen LLC Cognitive & Behavioral PastSince Sep 24, 2023 Accepting new patients

Locations

9325 Glades Rd
Ste 208
Boca Raton, FL 33434
Phone (561) 826-1901

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1488672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1811437247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 GLADES RD STE 208",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343988",
            "telephone_number": "561-600-9959",
            "fax_number": "561-600-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9325 GLADES RD STE 208",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343988",
            "telephone_number": "561-600-9959",
            "fax_number": "561-600-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIELMAN",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-05",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY6853",
            "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 May 14, 2020; 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.