John E Spisak (NPI# 1275970535, PAC ID# 9931162906) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1275970535 |
| PAC ID by PECOS | 9931162906 |
| Professional Enrollment ID | I20130806000583 |
| Full Name | John E Spisak |
| Organization Legal Name | UNITED PSYCHOLOGY CENTER LLC |
| Address |
213 Tanglewood Ct Ridgeway SC 29130-7100 |
| Phone Number | 7709391288 |
| Gender | M |
| Credential | CSW |
| Graduation Year | 1983 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 0648424796 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 213 Tanglewood Ct, Ridgeway, SC 29130-7100 | 7709391288 | UNITED PSYCHOLOGY CENTER LLC |
| Organization Legal Name | UNITED PSYCHOLOGY CENTER LLC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria M Hornick | Clinical Social Worker | United Psychology Center LLC | 2900 Chamblee Tucker Rd, Bldg 16, Atlanta, GA 30341-4148 |
| Brian Edward Barczak | Psychiatry | United Psychology Center LLC | 2900 Chamblee Tucker Rd, Bldg 16, Atlanta, GA 30341-4148 |
| Michael A Burke | Psychiatry | United Psychology Center LLC | 2900 Chamblee Tucker Rd, Bldg 16, Atlanta, GA 30341-4148 |
| Pamela C Mckenzie | Clinical Social Worker | United Psychology Center LLC | 2900 Chamblee Tucker Rd, Bldg 16, Atlanta, GA 30341-4148 |
| Dewitt C Alfred Iii | Psychiatry | United Psychology Center LLC | 2900 Chamblee Tucker Rd, Bldg 16, Atlanta, GA 30341-4148 |
| Douglas K Laipple | Psychiatry | United Psychology Center LLC | 2900 Chamblee Tucker Rd, Bldg 16, Atlanta, GA 30341-4148 |
| Ralph Lynn Mceachin | Clinical Social Worker | United Psychology Center LLC | 2900 Chamblee Tucker Rd, Bldg 16, Atlanta, GA 30341-4148 |
| Valdon Walker Jr. | Clinical Social Worker | United Psychology Center LLC | 213 Tanglewood Ct, Ridgeway, SC 29130-7100 |
| Keesha R Sledge | Clinical Social Worker | United Psychology Center LLC | 2900 Chamblee Tucker Rd, Bldg 16, Atlanta, GA 30341-4148 |
| Jenise Mitchell | Clinical Social Worker | United Psychology Center LLC | 2900 Chamblee Tucker Rd, Bldg 16, Atlanta, GA 30341-4148 |
| Street Address |
213 TANGLEWOOD CT |
| City | RIDGEWAY |
| State | SC |
| Zip | 29130-7100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valdon Walker Jr. | Clinical Social Worker | United Psychology Center LLC | 213 Tanglewood Ct, Ridgeway, SC 29130-7100 |
| Brian H Arthur | Clinical Social Worker | United Psychology Center LLC | 213 Tanglewood Ct, Ridgeway, SC 29130-7100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sharrell Tonya Odom | Nurse Practitioner | Eau Claire Cooperative Health Center, Inc | 755 Us Hwy 21 S, Ridgeway, SC 29130-6844 |
| Jandrette A Rhoe | Family Medicine | Eau Claire Cooperative Health Center, Inc | 755 Us Hwy 21 S, Ridgeway, SC 29130-6844 |
| City | RIDGEWAY |
| Zip Code | 29130 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | RIDGEWAY + CLINICAL SOCIAL WORKER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.