Provider Demographics
NPI:1205332400
Name:SPENCER PRICE - ROBINSON & CO., LLC
Entity type:Organization
Organization Name:SPENCER PRICE - ROBINSON & CO., LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:XAVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:IMFT
Authorized Official - Phone:213-395-7144
Mailing Address - Street 1:15400 PEARL RD STE 236
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-6000
Mailing Address - Country:US
Mailing Address - Phone:216-395-7144
Mailing Address - Fax:216-245-3634
Practice Address - Street 1:15400 PEARL RD STE 236
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-6000
Practice Address - Country:US
Practice Address - Phone:216-395-7144
Practice Address - Fax:216-245-3634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF1300005106H00000X
363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0163604Medicaid