DR. WILLIAM HENRY SPEARS JR. (NPI# 1336673441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336673441 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM HENRY SPEARS JR. |
| Credential | PH.D. |
| Practice Address |
5297 Parkside Dr Ste 306h Canandaigua NY 14424-7504 |
| Mailing Address |
106 E Main St Apt 1 Penn Yan NY 14527-1602 |
| Practice Telephone | 5852046694 |
| Mailing Telephone | 5859441744 |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
021745 | NY | Behavioral Health & Social Service Providers |
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
021745 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780187567 | William Spears | Student in an Organized Health Care Education/Training Program | 72 E Concord St # 124, Boston, MA 02118-2307 | 2018-03-17 |
| 1033205703 | William Spears | Counselor | 54 Oak Haven Rd, Purvis, MS 39475-3408 | 2006-10-04 |
| 1144672825 | William Fred Spears IIi | Nurse Practitioner | 112 N Main St, Benton, AR 72015-3765 | 2016-07-06 |
| 1639147119 | William K Spears | Pediatrics | 207 Elk Ave S, Fayetteville, TN 37334-3051 | 2006-03-09 |
| Street Address |
5297 PARKSIDE DR STE 306H |
| City | CANANDAIGUA |
| State | NY |
| Zip Code | 14424-7504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725029 | Stefanie Ann Hook | Nurse Practitioner | 395 West Street, Suite 101, Canandaigua, NY 14424 | 2019-11-21 |
| 1285120618 | Mary Kathleen Woodruff | Counselor | 163 Gibson Street, Canandaigua, NY 14424 | 2018-07-09 |
| 1699260612 | Victoria Record | Nurse Practitioner | 3325 Marvin Sands Dr, Canandaigua, NY 14424 | 2018-06-22 |
| 1649767443 | Liana Irene Schenk | Counselor | 5297 Parkside Drive, Building 400, Suite 408, Canandaigua, NY 14424 | 2018-04-17 |
| 1225534019 | Brook Slaby | Counselor | 5297 Parkside Dr Building 400 Office 411, Canandaigua, NY 14424 | 2018-04-02 |
| 1154839710 | Madasyn Leigh Smith | Physical Therapist | 229 Parrish St Ste 220, Canandaigua, NY 14424 | 2018-01-17 |
| 1295259992 | Melissa Ann Frarey | Licensed Practical Nurse | 4998 Wyffels Road, Canandaigua, NY 14424 | 2017-08-03 |
| 1235674599 | Wendy Williams | Early Intervention Provider Agency | 5145 North Bloomfiled Road, Canandaigua, NY 14424 | 2016-12-22 |
| 1326418252 | Mary Christine Casella | Registered Nurse | 90 West Gibson Street, Canandaigua, NY 14424 | 2015-10-05 |
| 1417351453 | Holly Jean Jackson | Licensed Practical Nurse | 5a Lafayette Avenue, Canandaigua, NY 14424 | 2014-10-20 |
| Find all providers in zip 14424 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275960833 | April L Connery | Psychologist | 400 Fort Hill Ave, Canandaigua, NY 14424-1159 | 2013-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484151 | Fred Ronald Waxenberg | Psychologist | 3001 Hewlett Ave, Merrick, NY 11566-5312 | 2020-10-16 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1699384495 | Illumination Psychology Pllc | Psychologist | 88 Terry Rd Ste 106, Smithtown, NY 11787-3811 | 2020-07-28 |
| 1881212140 | Elizabeth Wilen-berg | Psychologist | 308 W 103rd St Apt 8d, New York, NY 10025-4463 | 2020-07-13 |
| 1396361747 | Jeanna Pagnotta | Psychologist | 109 N 12th St Ste 507, Brooklyn, NY 11249-1002 | 2020-06-22 |
| 1376167544 | Amelio A D'onofrio | Psychologist | 58 E 79th St Fl 4f, New York, NY 10075-0221 | 2020-06-03 |
| 1114540648 | Alexandra Lerner | Psychologist | 10 Whitetail Dr, Ithaca, NY 14850-9458 | 2020-05-19 |
| 1386265882 | Abba Human Services Foundation, Inc | Psychologist | 10 Schriever Ln Ste B, New City, NY 10956-3314 | 2020-05-06 |
| 1750911160 | Julie Herman Hirschfeld | Psychologist | 575 West End Ave. Gr-a-3, New York, NY 10024-2711 | 2020-01-24 |
| 1588204093 | Rebecca Frances Reed | Psychologist | 1 City Pl Apt 610, White Plains, NY 10601-3334 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
| City | CANANDAIGUA |
| Zip Code | 14424 |
Please comment or provide details below to improve the information on DR. WILLIAM HENRY SPEARS JR..
| 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.