Active NPI
Karen Spoor, PH.D.
- Psychologist
- El Segundo, CA
National Provider Identifier
1891928743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY22879
- Practice address
- 325 W Grand Ave
El Segundo, CA 90245-3713 - Phone
- (310) 765-0146
- Fax
- (310) 426-9846
- NPI assigned
- Aug 26, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 22879 | CA | |
| Psychologist | 103T00000X | PSY22879 | CA | Primary |
Addresses
Primary practice location
325 W Grand Ave
El Segundo, CA 90245-3713
Mailing address
2200 Pacific Coast Highway
Suite 306
Hermosa Beach, CA 90254-2702
Phone (310) 765-0146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100202000130 | CA | Practitioner - Psychologist Billing Independently | 0446393318 | Practice locations: Hermosa Beach, CA; El Segundo, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2200 Pacific Coast Hwy 306
Hermosa Beach, CA 90254-2702
Phone (310) 765-0146
325 W Grand Ave
El Segundo, CA 90245-3713
Phone (310) 765-0146
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY22879 | CA | MD | Psychologist |
| 22879 | CA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1891928743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 PACIFIC COAST HIGHWAY",
"address_2": "SUITE 306",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902542702",
"telephone_number": "310-765-0146",
"fax_number": "310-426-9846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 W GRAND AVE",
"city": "EL SEGUNDO",
"state": "CA",
"postal_code": "902453713",
"telephone_number": "310-765-0146",
"fax_number": "310-426-9846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPOOR",
"first_name": "KAREN",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "22879",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY22879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Segundo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.