DR. JONATHAN SPEARE PHD LICENSED PSYCHOL NPI 1962537282

NPI Information

  • NPI: 1962537282
  • Provider Name: DR. JONATHAN SPEARE, PHD LICENSED PSYCHOL
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 225 1ST ST N
    SUITE 3100
    VIRGINIA, MN
    ZIP 55792
  • Phone: (218) 741-3740

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NPI Details

DR. Jonathan Speare, PHD LICENSED PSYCHOL is a clinical psychologist in Virginia, MN. 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. DR. Jonathan Speare, PHD LICENSED PSYCHOL NPI is 1962537282. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

225 1ST ST N
SUITE 3100
VIRGINIA, MN
ZIP 55792-457
Phone: (218) 741-3740

The NPI 1962537282 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes (HCPCS:90834)

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/10/2010.

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
1103TC0700XPsychologistClinicalLP0655MINNESOTAYes

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
1100318OTHERMINNESOTAPREFERRED ONE
28L597SPOTHERMINNESOTABCBS
36101470OTHERMINNESOTAUNITED BEHAVIORAL HEALTH
4850347800MEDICAIDMINNESOTA
5110500OTHERMINNESOTAUCARE
6074048OTHERMINNESOTAVALUE OPTIONS
7000512001OTHERMINNESOTAMAGELLAN
8689000331MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA

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: 11/21/2025

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