Active NPI
Maribeth Spanier, PH.D.
- Clinical Psychologist
- Tulsa, OK
National Provider Identifier
1902895378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 562
- Practice address
- 5512 S Lewis Ave
Suite 8
Tulsa, OK 74105-7140 - Phone
- (918) 743-4455
- Fax
- (918) 497-1318
- NPI assigned
- Oct 18, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 562 | OK | Primary |
Addresses
Primary practice location
5512 S Lewis Ave
Suite 8
Tulsa, OK 74105-7140
Mailing address
5512 S Lewis Ave
Suite 8
Tulsa, OK 74105-7140
Phone (918) 743-4455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100839030A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110323000250 | OK | Practitioner - Clinical Psychologist | 1850574286 | Practice locations: Tulsa, OK |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Vanderbilt University School of Medicine, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5512 S Lewis Ave
Suite 8
Tulsa, OK 74105-7140
Phone (918) 743-4455
5512 S Lewis Avenue
Suite 8
Tulsa, OK 74105-7140
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 562 | OK | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1902895378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5512 S LEWIS AVE",
"address_2": "SUITE 8",
"city": "TULSA",
"state": "OK",
"postal_code": "741057140",
"telephone_number": "918-743-4455",
"fax_number": "918-497-1318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5512 S LEWIS AVE",
"address_2": "SUITE 8",
"city": "TULSA",
"state": "OK",
"postal_code": "741057140",
"telephone_number": "918-743-4455",
"fax_number": "918-497-1318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPANIER",
"first_name": "MARIBETH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-18",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OK",
"license": "562",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100839030A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.