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DR. ANDREA LANGE SPEAR PH.D
NPI 1205204526
Psychologist - Clinical in Santa Monica, CA

Active since September 02, 2015PECOS Enrolled
417 14TH ST, SANTA MONICA, CA 90402(480) 540-5310 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2018, Jul 31, 2017 (2 updates tracked since 2017).

About Dr. Andrea Lange Spear Ph.d NPPES

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

DR. ANDREA LANGE SPEAR PH.D (NPI 1205204526) is an individual clinical provider in Santa Monica, California, licensed in Virginia (0810007678) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1205204526
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANDREA LANGE SPEARCredential: PH.D
Location Address417 14TH STSanta Monica, CA 90402-2131
Mailing Address417 14th StSanta Monica, CA 90402-2131 · (480) 540-5310
Phone(480) 540-5310
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 2, 2015
Last NPPES UpdateMarch 22, 20222 updates tracked since enumeration
NPPES CertifiedMarch 22, 2022
✔ NPI 1205204526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810007678
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.
Also ListedPsychologistTaxonomy 103T00000X
417 14TH ST, Santa Monica, CA 90402
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11375 55th StEmeryville, CA 94608-2609 · Phone (510) 655-7880
Location 21080 N 7th StSan Jose, CA 95112-4425 · Phone (408) 869-9160
Location 32400 Moorpark Ave Ste 300San Jose, CA 95128-2680 · Phone (408) 975-2730

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrea Lange Spear Ph.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658854104
PECOS Enrollment IDI20260317002873
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Spear reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PA
2,354 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, District of Columbia and Tennessee enrollments
  • 1,424 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Andrea Spear's NPI number?

The NPI number for Andrea Spear is 1205204526. It was assigned to this individual provider in the NPPES registry on September 2, 2015.

Where is Andrea Spear located?

Andrea Spear practices at 417 14th St, Santa Monica, CA 90402. The listed phone number is (480) 540-5310.

What is Andrea Spear's specialty?

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

Is Andrea Spear enrolled in Medicare?

Yes. Andrea Spear is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Spear's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Spear reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrea Spear's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Spear was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.