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JOSEPH SPAGNOLA APN NP PMHNP-BC NPI 1649760083


NPI Information

NPI: 1649760083
Provider Name: JOSEPH SPAGNOLA, APN, NP, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: ALEKSANDR DEKHTYAR MD SC

PECOS Registration: Yes

Address:
3249 OAK PARK AVE
BERWYN, IL
ZIP 60402
Phone: (708) 783-9100
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Joseph Spagnola, APN, NP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Berwyn, IL with 7 years of experience. Joseph Spagnola, APN, NP, PMHNP-BC NPI is 1649760083. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3249 OAK PARK AVE
BERWYN, IL
ZIP 60402-429
Phone: (708) 783-9100

The NPI 1649760083 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, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/11/2018 and was last updated on 5/11/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental Health209017357ILLINOISYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.