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DR. STEPHANIE SPACKEY PSY.D.
NPI 1013136688
Psychologist - Clinical in Naperville, IL

Active since April 24, 2007Opted out of Medicare · through Jan 8, 2028
445 W JACKSON AVE STE 206, NAPERVILLE, IL 60540(630) 420-2596(630) 420-2796 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephanie Spackey Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHANIE SPACKEY PSY.D. (NPI 1013136688) is an individual clinical provider in Naperville, Illinois and active in the NPI registry since April 2007. She has opted out of Medicare through January 8, 2028.

NPPES Registry Identity

NPI1013136688
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. STEPHANIE SPACKEYCredential: PSY.D.
Location Address445 W JACKSON AVE STE 206Naperville, IL 60540-5258
Mailing Address445 W Jackson Ave Ste 206Naperville, IL 60540-5258 · (630) 420-2596 · Fax (630) 420-2796
Phone(630) 420-2596
Fax(630) 420-2796
Sole ProprietorNo
Enumeration DateApril 24, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013136688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
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.
445 W JACKSON AVE STE 206, Naperville, IL 60540
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Stephanie Spackey Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 8, 2024 through January 8, 2028.

Opt-Out Effective DateJanuary 8, 2024
Opt-Out In Effect ThroughJanuary 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE J. SPACKEY, LTD.
Psychologist (Clinical)
445 W JACKSON AVE STE 206
NAPERVILLE, IL 60540
Dupage County (630) 420-2596
PROVIDENCE COUNSELING ASSOCIATES, LLC
Counselor (Professional)
445 W JACKSON AVE STE 206
NAPERVILLE, IL 60540
Dupage County (630) 420-2596
MRS. DIANN ANDERSON LCPC
Counselor (Professional)
445 W JACKSON AVE STE 206
NAPERVILLE, IL 60540
Dupage County (630) 420-2596
DR. CHARLENE R BROWER PSY.D.
Psychologist (Clinical)
445 W JACKSON AVE STE 206
NAPERVILLE, IL 60540
Dupage County (630) 420-2596

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Spackey's NPI number?

The NPI number for Stephanie Spackey is 1013136688. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Stephanie Spackey located?

Stephanie Spackey practices at 445 W Jackson Ave Ste 206, Naperville, IL 60540. The listed phone number is (630) 420-2596.

What is Stephanie Spackey's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Stephanie Spackey enrolled in Medicare?

No. Stephanie Spackey has opted out of Medicare through January 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Stephanie Spackey was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.