DR. JACK SPECTOR (NPI# 1093927428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093927428 |
| Entity Type | Individual |
| Full Name | DR. JACK SPECTOR |
| Credential | PH.D. |
| Practice Address |
1101 Saint Paul St Suite 401 Baltimore MD 21202-2619 |
| Practice Telephone | 3017250055 |
| Practice Fax Number | 8668557976 |
| Mailing Telephone | 3017250055 |
| Mailing Fax Number | 8668557976 |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103G00000X | Clinical Neuropsychologist | 2367 | MD | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
2367 | MD | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
2367 | MD | Behavioral Health & Social Service Providers |
| X | 103TF0200X |
Psychologist Specialization: Forensic |
2367 | MD | Behavioral Health & Social Service Providers |
| Street Address |
1101 SAINT PAUL ST SUITE 401 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21202-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174676233 | Anthony Joseph Abbondandolo | Psychologist | 1101 Saint Paul St, 406, Baltimore, MD 21202-2619 | 2007-01-19 |
| 1629289293 | Rothschild's Orthopedic Appliances, Inc. | Prosthetic/Orthotic Supplier | 1101 Saint Paul St, Unit 311, Baltimore, MD 21202-2619 | 2007-05-25 |
| 1669516118 | Gregory Wayne Ross | Internal Medicine | 1101 Saint Paul St, Suite 410, Baltimore, MD 21202-2619 | 2007-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750938650 | Anthony Graves | Behavior Technician | 414 Light Street, Baltimore, MD 21202 | 2019-08-25 |
| 1235786609 | Perfected Medical Billing & Consulting Service Inc. | Rehabilitation Counselor | 11 E Mt Royal Avenue, 3rd Flr Ste 2, Baltimore, MD 21202 | 2019-08-21 |
| 1700430246 | Ronie George | Nurse Practitioner | 345 St. Paul Place Dept of Pediatrics, Baltimore, MD 21202 | 2019-08-01 |
| 1750940185 | Katherine Wachter Mullins | Social Worker | 200 East North Ave, Related Services - Rm 210, Baltimore, MD 21202 | 2019-06-10 |
| 1720647175 | Ivelysse Claudio Cortes | Speech-Language Pathologist | Rsu/ofic of Spec Educ- Speech-language Department, 200 E North Avenue, Room 211, Baltimore, MD 21202 | 2019-06-10 |
| 1497314157 | Debera Marie Reznitsky | Speech-Language Pathologist | 200 East North Avenue, Related Services Rm 210, Baltimore, MD 21202 | 2019-06-06 |
| 1154989952 | Zirka Oksanna Hanas | Speech-Language Pathologist | 200 E. North Avenue, Related Services Room #210, Baltimore, MD 21202 | 2019-06-05 |
| 1750946224 | Lareneque Bartholomew | Counselor | 110 East Lexington Street, Suite 200, Baltimore, MD 21202 | 2019-05-09 |
| 1700349602 | Strategies, Inc. Behavior Analysis & Therapeutic Services | Behavioral Analyst | 414 Light Street, Baltimore, Md, Usa, 2103, Baltimore, MD 21202 | 2019-04-09 |
| 1902384068 | Medical Practice Billing and Solution, LLC | Clinic/Center | 224 N Gay Street, Baltimore, MD 21202 | 2018-08-01 |
| Find all providers in zip 21202 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902333107 | Keenan Alexander Walker | Clinical Neuropsychologist | Phipps, Room 446, 600 North Wolfe Street, Baltimore, MD 21287 | 2017-05-18 |
| 1588008510 | Jacqueline R Weaver | Clinical Neuropsychologist | 2200 Kernan Dr Ofc 1219, Baltimore, MD 21207-6665 | 2013-04-21 |
| 1275875221 | Matthew Lawrence Cohen | Clinical Neuropsychologist | Meyer 218 The Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287-0005 | 2013-03-17 |
| 1972898062 | Joseph Jason Van Steenburgh | Clinical Neuropsychologist | 1629 Thames St Ste 350, Division of Cognitive Neurology, Baltimore, MD 21231-3440 | 2011-06-16 |
| 1346554011 | Lindsey Elizabeth Kirsch-darrow | Clinical Neuropsychologist | Physical Medicine and Rehab 600 North Wolfe St, Phipps 174, Baltimore, MD 21287-0001 | 2010-08-04 |
| 1366699076 | Sally Long | Clinical Neuropsychologist | 600 N. Wolfe St, Meyer 218, Baltimore, MD 21287-7218 | 2008-08-25 |
| 1326236571 | Brenda Hanna-pladdy | Clinical Neuropsychologist | 110 S Paca Street 3rd Floor, University of Maryland School of Medicine, Baltimore, MD 21201 | 2007-10-11 |
| 1972116200 | Kalina Eneva Hurley | Clinical Neuropsychologist | 1708 W Rogers Ave, Baltimore, MD 21209-4596 | 2020-08-26 |
| 1396356077 | Jessica Cinda Dalrymple | Clinical Neuropsychologist | 10 N Greene St, Baltimore, MD 21201-1524 | 2020-08-14 |
| 1457960650 | Marilyn Albert | Clinical Neuropsychologist | 1620 Mcelderry St, Baltimore, MD 21205-1911 | 2020-07-24 |
| Find all providers in BALTIMORE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.