Total Spectrum Health PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MB07388800 Issued in NJ

Legal business name

TOTAL SPECTRUM HEALTH PC

Practice address

171 Woodport Rd
Sparta, NJ 07871-2633

Phone

(973) 726-3001

Fax

(973) 726-3002

NPI assigned

Oct 19, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Jenny A Blanchard, D.O.

Title

Owner

Phone

(973) 726-3001

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1821341439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 WOODPORT RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712633",
            "telephone_number": "973-726-3001",
            "fax_number": "973-726-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 WOODPORT RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712633",
            "telephone_number": "973-726-3001",
            "fax_number": "973-726-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL SPECTRUM HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "BLANCHARD",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-726-3001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB07388800",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MB07388800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057505PXE",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Sparta, NJ
• Providers in Sparta, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.