CONSTANCE L SPICERO ED.D. NPI 1295708741

NPI Information

NPI: 1295708741
Provider Name: CONSTANCE L SPICERO, ED.D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
4400 W 69TH ST
STE 1500
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 322-5700
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Constance L Spicero, ED.D. is a clinical psychologist in Sioux Falls, SD. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. Constance L Spicero, ED.D. NPI is 1295708741. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4400 W 69TH ST
STE 1500
SIOUX FALLS, SD
ZIP 57108-170
Phone: (605) 322-5700
Fax: (605) 322-5704

The NPI 1295708741 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/7/2006 and was last updated on 12/11/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	307	SOUTH DAKOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2633225	MEDICAID	OHIO
2	412991028160	OTHER	SOUTH DAKOTA	PREFERRED ONE
3	6550652	MEDICARE ID-TYPE UNSPECIFIED	SOUTH DAKOTA
4	10666	OTHER	SOUTH DAKOTA	MIDLANDS CHOICE
5	140M9SP	OTHER	MINNESOTA	CC SYSTEMS/ BLUE PLUS
6	28561	OTHER	SOUTH DAKOTA	SANFORD HEALTH PLAN
7	HP41055	OTHER	SOUTH DAKOTA	HEALTHPARTNERS
8	46022474352	MEDICAID	NEBRASKA
9	0040483	OTHER	SOUTH DAKOTA	BLUE CROSS
10	P307	OTHER	SOUTH DAKOTA	DAKOTACARE
11	S40483	MEDICARE PIN	SOUTH DAKOTA
12	1958108	MEDICAID	IOWA
13	680015315	OTHER	SOUTH DAKOTA	RR MEDICARE
14	R02449	MEDICARE UPIN	SOUTH DAKOTA
15	12200	MEDICAID	NORTH DAKOTA
16	142413	OTHER	MINNESOTA	UCARE
17	25059	OTHER	SOUTH DAKOTA	ARAZ/ AMERICA'S PPO
18	57108C007	OTHER	SOUTH DAKOTA	WPS TRICARE
19	901553100	MEDICAID	MINNESOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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