S.E. Specter, MD PHD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A107376 Issued in CA

Practice address

201 N. Robertson Blvd., Suite 203
Beverly Hills, CA 90211-1732

Phone

(310) 409-9281

NPI assigned

Jul 12, 2007

Last updated

May 8, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525737600000",
    "number": "1912106717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N ROBERTSON BLVD STE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111748",
            "telephone_number": "310-409-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N. ROBERTSON BLVD., SUITE 203",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111732",
            "telephone_number": "310-409-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECTER",
        "first_name": "S.E.",
        "name_prefix": "Dr.",
        "credential": "MD PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-12",
        "last_updated": "2018-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A107376",
            "primary": true
        },
        {
            "code": "2084B0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Obesity Medicine",
            "state": "CA",
            "license": "A107376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Dianne Spalding, AMFT
• Kenneth O Sparks, M.D.
• Ronald A Sparks, D.D.S.
• Specialty Surgical Center of Beverly Hills LP (Specialty Surgical Center)
• Specialty Surgical Center, LLC (Specialty Surgical Center)
• Pnina Spector-Shleifer, LCSW
• Speech With US
• Cynthia Speich, PSY.D.
• Susan Cheryl Spell, M.D.
• Brittney Jenice Speller, DPT

• Psychiatry Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.