Active NPI
Jason Spielman, PSY.D.
- Cognitive & Behavioral Psychologist
- Boca Raton, FL
National Provider Identifier
1811437247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- PY6853
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PY6853 | FL | MD | Cognitive & Behavioral Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ellr, P.a. | Cognitive & Behavioral | Current | Accepting new patients |
| Mjen LLC | Cognitive & Behavioral | Past | 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.
-
- Cognitive & Behavioral Psychologist
- Boca Raton, FL
- NPI 1407482961
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": []
}
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- Speech-Language Technologies
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- Martin W. Spiegler, M.D.
- Spinal Therapy Medical Group FL
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- Spine and Joint Center of Boca Raton
- Eric Spinner
- Casandra Maria Spinosa
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.