Active NPI
Valeriya G Spektor, PHD
- Psychologist
- Philadelphia, PA
National Provider Identifier
1912412107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS018336
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| PS018336 | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valeriya Spektor, PHD, PLLC | Psychologist | Current | 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.
-
- Psychologist
- Philadelphia, PA
- NPI 1447963814
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.