Jared Spencer
NPI 1477199636 · Clinical Psychologist · Prior Lake, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jared Spencer is a Clinical Psychologist provider in Prior Lake, MN (NPI 1477199636).
Provider details
- NPI number
- 1477199636
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- LP6688 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-11-22
- Last updated
- 2021-07-07
- Certified
- 2021-07-07
Frequently asked questions
- What is Jared Spencer's NPI number?
- Jared Spencer's National Provider Identifier (NPI) is 1477199636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jared Spencer's specialty?
- Jared Spencer is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jared Spencer located?
- Jared Spencer's practice location on file with NPPES is 16180 Hastings Ave Se Ste 205, Prior Lake, MN 55372-9228.
- What is Jared Spencer's phone number?
- The practice phone number listed in the NPPES registry for Jared Spencer is (952) 443-4600.
- Does Jared Spencer accept Medicare?
- Jared Spencer is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jared Spencer's NPI active?
- Yes — Jared Spencer's NPI (1477199636) is active in the NPPES registry as of the last update on 2021-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.