Individual provider Active NPI

Valeriya G Spektor, PHD

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1912412107
Registry record updated Dec 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS018336 Issued in PA
Practice address
123 S Broad St Ste 1948
Philadelphia, PA 19109-1029
Phone
(484) 690-4676
Fax
(484) 690-4676
NPI assigned
Dec 10, 2017
Last updated
Dec 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PS018336 PA
Psychologist 103T00000X PS018336 PA Primary

Addresses

Primary practice location

123 S Broad St Ste 1948
Philadelphia, PA 19109-1029

Mailing address

100 S Broad St Ste 915
Philadelphia, PA 19110-1016
Phone (267) 360-9495

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 9, 2024 through Jan 9, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS018336PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Valeriya Spektor, PHD, PLLC Psychologist CurrentSince Jan 8, 2023 Accepting new patients

Locations

100 S Broad St
Ste 915
Philadelphia, PA 19110
Phone (215) 525-0579

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1512864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672444800000",
    "number": "1912412107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S BROAD ST STE 915",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191101016",
            "telephone_number": "267-360-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 S BROAD ST STE 1948",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191091029",
            "telephone_number": "484-690-4676",
            "fax_number": "484-690-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEKTOR",
        "first_name": "VALERIYA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-10",
        "last_updated": "2022-12-31",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "PA",
            "license": "PS018336",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS018336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.