Provider Demographics
NPI:1326921693
Name:SPIVEY, ERIC JEREL II
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:JEREL
Last Name:SPIVEY
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3144 G ST STE 125
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-1385
Mailing Address - Country:US
Mailing Address - Phone:209-364-1060
Mailing Address - Fax:209-364-1060
Practice Address - Street 1:535 W 26TH ST
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-2825
Practice Address - Country:US
Practice Address - Phone:209-947-0494
Practice Address - Fax:209-947-0494
Is Sole Proprietor?:No
Enumeration Date:2025-07-25
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator