Spectrum Psychology Services, Pllc
LBN: Spectrum Psychology Services, Pllc
Spectrum Psychology Services, Pllc is an health care organization with primary practice located at 16108 E Emerald Dr Unit 204 , Fountain Hills AZ 85268-5424. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Adult Mental Health. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty.
Spectrum Psychology Services, Pllc can be contacted via phone (516) 978-8294, or through Santoro, Anthony V via phone (516) 978-8294.
Contact Information
Primary practice address
16108 E Emerald Dr Unit 204
Fountain Hills AZ 85268-5424
Phone: (516) 978-8294
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 013294 | New York |
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X |
Profile Details
| NPI number | 1770520116 |
|---|---|
| LBN Legal business name | Spectrum Psychology Services, Pllc |
| DBA Doing business as | |
| Authorized official | Santoro, Anthony V PSYD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 2nd, 2006 |
| Last updated | Feb 1st, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770520116 | NPPES |
| New York | MEDICAID | 02773311 |
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