SCOTT SPIVACK LMFT, LPCC
NPI 1063938504
Marriage & Family Therapist in Menlo Park, CA

NPI Status: Active since August 16, 2017

Contact Information

800 MENLO AVE
SUITE 212
MENLO PARK, CA
ZIP 94025
Phone: (650) 288-7112

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  • Individual
  • Male
  • Marriage & Family Therapist
  • Opted-Out Medicare

About SCOTT SPIVACK

This page provides the complete NPI Profile along with additional information for Scott Spivack, a provider established in Menlo Park, California with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1063938504 assigned on August 2017. The practitioner's primary taxonomy code is 106H00000X with license number 98959 (CA). The provider is registered as an individual and his NPI record was last updated 9 years ago.

NPI
1063938504
Provider Name
SCOTT SPIVACK LMFT, LPCC
Gender
Male
Entity Type
Individual
Location Address
800 MENLO AVE SUITE 212 MENLO PARK, CA 94025
Location Phone
(650) 288-7112
Mailing Address
PO BOX 1411 MENLO PARK, CA 94026
Is Sole Proprietor?
Yes
Enumeration Date
08-16-2017
Last Update Date
08-16-2017
Code Navigator

A marriage and family therapist like Scott Spivack help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Scott Spivack opted out of Medicare effective on 10-15-2024 until 10-15-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Marriage & Family Therapist

Taxonomy Code
106H00000X
Type
Behavioral Health & Social Service Providers
License No.
98959
License State
CA
Taxonomy Description
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

4007 (CA)

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 10-15-2024

  • Opt-Out End Date: 10-15-2026

  • Eligible to Order and Refer? No

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063938504, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
0
Doubled → 0
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 9 → 18 → 9 8 → 16 → 7 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 1 + 8 + 3 + 1 + 6 + 5 + 0 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1063938504.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Psychologist (Clinical)
800 MENLO AVE, #209
MENLO PARK, CA 94025
Psychologist (Clinical)
800 MENLO AVE, SUITE 212
MENLO PARK, CA 94025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063938504, enumerated as an "individual" on August 16, 2017.

The provider is located at 800 MENLO AVE SUITE 212 MENLO PARK, CA 94025 and the phone number is (650) 288-7112.

Marriage & Family Therapist with taxonomy code 106H00000X.