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DR. KRISTINE V. SPANO PSY.D.
NPI 1467944470
Psychologist - Clinical in Philadelphia, PA

Active since June 05, 2018Opted out of Medicare · through Jul 1, 2028
1528 WALNUT ST STE 512, PHILADELPHIA, PA 19102(267) 225-4122 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 20, 2024, Jan 16, 2019 (2 updates tracked since 2019).

About Dr. Kristine V. Spano Psy.d. NPPES

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

DR. KRISTINE V. SPANO PSY.D. (NPI 1467944470) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (018724) and active in the NPI registry since June 2018. She has opted out of Medicare through July 1, 2028.

NPPES Registry Identity

NPI1467944470
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KRISTINE V. SPANOCredential: PSY.D.
Location Address1528 WALNUT ST STE 512Philadelphia, PA 19102-3606
Mailing Address1528 Walnut St Ste 512Philadelphia, PA 19102-3606 · (201) 463-4487
Phone(267) 225-4122
Sole ProprietorYes
Enumeration DateJune 5, 2018
Last NPPES UpdateJune 26, 20262 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1467944470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in PA · 018724✔ Licensed in NY · 026023-01
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.
1528 WALNUT ST STE 512, Philadelphia, PA 19102
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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. Kristine V. Spano 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 July 1, 2024 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2024
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Kristine Spano's NPI number?

The NPI number for Kristine Spano is 1467944470. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Kristine Spano located?

Kristine Spano practices at 1528 Walnut St Ste 512, Philadelphia, PA 19102. The listed phone number is (267) 225-4122.

What is Kristine Spano's specialty?

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

Is Kristine Spano enrolled in Medicare?

No. Kristine Spano has opted out of Medicare through July 1, 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 Kristine Spano was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.