Michelle Spader, PSYD, Bcba-D, LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

6516 Issued in OH

Legal business name

MICHELLE SPADER, PSYD, BCBA-D, LLC

Practice address

6260 S Sunbury Rd
Suite 5
Westerville, OH 43081-9002

Phone

(614) 852-4152

Fax

(614) 852-4151

NPI assigned

Jun 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Spader, PSYD, BCBA-D

Title

Psychologist/Founder

Phone

(614) 852-4152

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Spader-Cloud, PSYD, BCBA-D

  • Clinical Psychologist
  • Westerville, OH
  • NPI 1558794545
  NPD (past)

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1972952463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6260 S SUNBURY RD",
            "address_2": "SUITE 5",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430819002",
            "telephone_number": "614-852-4152",
            "fax_number": "614-852-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6260 S SUNBURY RD",
            "address_2": "SUITE 5",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430819002",
            "telephone_number": "614-852-4152",
            "fax_number": "614-852-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE SPADER, PSYD, BCBA-D, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "SPADER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/FOUNDER",
        "authorized_official_telephone_number": "614-852-4152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, BCBA-D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6516",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "6516",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "OH",
            "license": "6516",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Child & Adolescent Psychologist in Westerville, OH
• Providers in Westerville, OH by specialty
• Clinical Child & Adolescent Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.