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

Active since August 16, 2017Opted out of Medicare · through Oct 15, 2026
800 MENLO AVE, SUITE 212, MENLO PARK, CA 94025(650) 288-7112 Get Directions Write a Review

NPPES record last updated: August 16, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Scott Spivack Lmft, Lpcc NPPES

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

SCOTT SPIVACK LMFT, LPCC (NPI 1063938504) is an individual marriage & family therapist in Menlo Park, California, licensed in California (98959) and active in the NPI registry since August 2017. He has opted out of Medicare through October 15, 2026.

NPPES Registry Identity

NPI1063938504
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameSCOTT SPIVACKCredential: LMFT, LPCC
Location Address800 MENLO AVE, SUITE 212Menlo Park, CA 94025
Mailing AddressPo Box 1411Menlo Park, CA 94026-1411
Phone(650) 288-7112
Sole ProprietorYes
Enumeration DateAugust 16, 2017
✔ NPI 1063938504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 98959
Definition
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.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 4007 (CA)
800 MENLO AVE, Menlo Park, CA 94025
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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

Scott Spivack Lmft, Lpcc 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 October 15, 2024 through October 15, 2026.

Opt-Out Effective DateOctober 15, 2024
Opt-Out In Effect ThroughOctober 15, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

DR. JACQUELINE D.S. JACKSON PH.D.
Psychologist (Clinical)
800 MENLO AVE, #209
MENLO PARK, CA 94025
San Mateo County (650) 321-5206
DR. LYNN ELLEN GORODSKY PH.D.
Psychologist (Clinical)
800 MENLO AVE, SUITE 212
MENLO PARK, CA 94025
San Mateo County (650) 326-8709

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 Scott Spivack's NPI number?

The NPI number for Scott Spivack is 1063938504. It was assigned to this individual provider in the NPPES registry on August 16, 2017.

Where is Scott Spivack located?

Scott Spivack practices at 800 Menlo Ave Suite 212, Menlo Park, CA 94025. The listed phone number is (650) 288-7112.

What is Scott Spivack's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Scott Spivack enrolled in Medicare?

No. Scott Spivack has opted out of Medicare through October 15, 2026. 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 Scott Spivack was last updated on August 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.