Jeffrey Spodak, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

016580 Issued in NY

Practice address

303 5TH Ave RM 1707
New York, NY 10016-6641

Phone

(646) 662-1938

Fax

(888) 498-0866

NPI assigned

Jun 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1972549988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1606",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166649",
            "telephone_number": "646-662-1938",
            "fax_number": "888-498-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE RM 1707",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166641",
            "telephone_number": "646-662-1938",
            "fax_number": "888-498-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPODAK",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "016580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynn Spizuoco, D.O.
• Stacy Anne Spizuoco, D.D.S.
• Megan Splain
• Emily Marie Splichal, DPM
• Veronika Splichalova, LMT
• Melanie Spoerri
• Martin Francis Spollen
• Gaya Spolverato
• Marianne Sponholz
• Timothy Andrew Sponsler, LCSW

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.