Spencer Ames, L.AC, DIPL. OM

Individual provider Active NPI Acupuncturist · Haverhill, MA

NPI 1861784415 · NPPES record last updated Mar 19, 2019

Key facts

NPI
1861784415
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
ACU-1507 (CO)
Practice address
71 Summer St
Haverhill, MA 01830
Phone
(978) 494-4864
NPI assigned
May 13, 2011
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
ACU-1507COMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Stream Integrative Medicine Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU-1507 CO Yes

Addresses

Primary practice location

71 Summer St
Haverhill, MA 01830

Mailing address

109 River Pointe Way Apt 4305
Lawrence, MA 01843-3848
Phone (720) 212-4620

Other practice location 1

1776 S Jackson St
Suite 810
Denver, CO 80210-3801
Phone (720) 334-8646

Other practice location 2

1776 S Jackson St
Suite 810
Denver, CO 80210-3801
Phone (720) 334-8646

Other providers in Haverhill, MA

All providers in Haverhill, MA · Acupuncturist in Massachusetts

Sources for this page

Verify at the official NPI Registry.