Individual provider Active NPI

Stanley M Spergel, PSY.D.

  • Clinical Psychologist
  • Woodcliff Lake, NJ
National Provider Identifier
1932242443
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1580 Issued in NJ
Practice address
28 Mill Road Ext
Woodcliff Lake, NJ 07677-8142
Phone
(201) 391-8778
Fax
(201) 391-8778
NPI assigned
Feb 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1580 NJ Primary

Addresses

Primary practice location

28 Mill Road Ext
Woodcliff Lake, NJ 07677-8142

Mailing address

28 Mill Road Ext
Woodcliff Lake, NJ 07677-8142
Phone (201) 391-8778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070522000364 NJ Practitioner - Clinical Psychologist 3375640691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

28 Mill Rd Ext
Woodcliff Lake, NJ 07677-8142
Phone (201) 391-8778

Merit-based Incentive Payment System (MIPS)

Final score
62.59 of 100Reported as individual
Quality
11.79
Improvement activities
40
Cost
76.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1580NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stanley Spergel PA Clinical CurrentSince Apr 15, 2007 Accepting new patients
Guardian Eldercare PC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932242443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MILL ROAD EXT",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778142",
            "telephone_number": "201-391-8778",
            "fax_number": "201-391-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MILL ROAD EXT",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778142",
            "telephone_number": "201-391-8778",
            "fax_number": "201-391-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPERGEL",
        "first_name": "STANLEY",
        "middle_name": "M",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "1580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodcliff Lake, NJ

Sources for this page

Verify at the official NPI Registry.