CMS-1500 Box 24J / 33a • NPI
1154469302
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
103T00000X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist
Box 32 Service Location & ZIP+4
481 E MOUNTAIN ROAD SOUTH, COLD SPRING, NY, 10516
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1154469302 (LINDA SPANO, PhD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1154469302 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | LINDA SPANO, PhD |
| Plain-English Specialty | Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist NUCC Code: 103T00000X (Psychologist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 481 E MOUNTAIN ROAD SOUTH, COLD SPRING, NY, 10516 |
| Practice Telephone / Fax | Tel: (914) 248-7094 |
| Administrative Mailing Address | PO BOX 133, CROSS RIVER, NY, 10518 |
| Enumeration & Last Sync | Enumerated: 2007-02-01 | CMS Record Updated: 2007-07-08 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (103T00000X)
What Does Taxonomy Code 103T00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103T00000X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (LINDA SPANO, PhD)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
103T00000X — PsychologistPlain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist | State: NY | License: 0145691 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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