Brian T Spako, BS

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

97 Main St
Salamanca, NY 14779-1529

Phone

(716) 945-5211

Fax

(716) 945-5267

NPI assigned

Oct 15, 2010

Last updated

Oct 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1902116635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 MAIN ST",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791529",
            "telephone_number": "716-945-5211",
            "fax_number": "716-945-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 MAIN ST",
            "city": "SALAMANCA",
            "state": "NY",
            "postal_code": "147791529",
            "telephone_number": "716-945-5211",
            "fax_number": "716-945-5267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAKO",
        "first_name": "BRIAN",
        "middle_name": "T",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00625098",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Lynne Smith, OTR/L
• Mary Elizabeth Smith, ANP
• Kimberly R Snider, D.P.T.
• Amy Snyder, LCSW
• Southern Tier Community Health Center Network, Inc. (Universal Primary Care)
• Karen Sticek
• Julie Elizabeth Stoddard, APRN
• Rebecca Ann Stone, LMSW
• Holly A Studd, OTR
• Yvonne Marie Sweet, RN CDE

• Counselor in Salamanca, NY
• Providers in Salamanca, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.