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DR. JAMES LIONEL SPIRA PHD, MPH, ABPP
NPI 1619143641
Psychologist - Clinical in Oakland, CA

Active since April 30, 2008PECOS Enrolled
74.46/100
CMS Quality Rating
PO BOX 13087, OAKLAND, CA 94661(808) 225-2193 Get Directions Write a Review

NPPES record last updated: May 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. James Lionel Spira Phd, Mph, Abpp NPPES

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

DR. JAMES LIONEL SPIRA PHD, MPH, ABPP (NPI 1619143641) is an individual clinical provider in Oakland, California, licensed in California (34093) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619143641
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JAMES LIONEL SPIRACredential: PHD, MPH, ABPP
Location AddressPO BOX 13087Oakland, CA 94661-0087
Mailing AddressPo Box 13087Oakland, CA 94661-0087 · (808) 225-2193
Phone(808) 225-2193
Sole ProprietorYes
Enumeration DateApril 30, 2008
Last NPPES UpdateMay 24, 2024
NPPES CertifiedMay 24, 2024
✔ NPI 1619143641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in CA · 34093✔ Licensed in HI · 1332
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 ListedPsychologist · HealthTaxonomy 103TH0004X · License 1332 (HI), 34093 (CA)
PO BOX 13087, Oakland, CA 94661
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. James Lionel Spira Phd, Mph, Abpp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of behavior impacting health in group setting, each additional 30 minutes 96165
This treatment involves group sessions aimed at addressing behaviors impacting health. Each additional half-hour allows for deeper exploration of these behaviors and learning new strategies for change. It's a supportive environment for shared learning and growth.
348 services20 patients
Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
102 services28 patients
Treatment of behavior impacting health in group setting, initial 30 minutes 96164
This is a group therapy session focusing on behaviors that affect health. In the initial 30 minutes, individuals share experiences and learn strategies to manage these behaviors. It's a supportive, confidential environment for personal growth and change.
92 services21 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94661 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability76
Improvement Activities40
Cost46.68

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 James Spira's NPI number?

The NPI number for James Spira is 1619143641. It was assigned to this individual provider in the NPPES registry on April 30, 2008.

Where is James Spira located?

James Spira practices at PO Box 13087, Oakland, CA 94661. The listed phone number is (808) 225-2193.

What is James Spira's specialty?

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

Is James Spira enrolled in Medicare?

Yes. James Spira is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for James Spira was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.