DR. SAMANTHA LYN BOUTIS (NPI# 1033353750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033353750 |
| Entity Type | Individual |
| Full Name | DR. SAMANTHA LYN BOUTIS |
| Other Name | SAMANTHA LYN HERMAN |
| Credential | PSY.D |
| Practice Address |
430 Sills Rd Yaphank NY 11980 |
| Practice Telephone | 6319245583 |
| Mailing Telephone | 6319245583 |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2010-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
297457 | NY | Behavioral Health & Social Service Providers |
| Street Address |
430 SILLS RD |
| City | YAPHANK |
| State | NY |
| Zip Code | 11980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316506769 | Emily Lynn Martino | Specialist | 430 Sills Rd, Yaphank, NY 11980 | 2019-06-10 |
| 1487964128 | Florence S Barresi | Occupational Therapist | 430 Sills Rd, Yaphank, NY 11980 | 2010-10-15 |
| 1497064836 | Karen Irene Devries | Physical Therapy Assistant | 430 Sills Rd, Yaphank, NY 11980 | 2010-10-04 |
| 1598073520 | Veronica A Raalf | Physical Therapy Assistant | 430 Sills Rd, Yaphank, NY 11980 | 2010-09-24 |
| 1255649380 | Jeanette Glenn | Speech-Language Pathologist | 430 Sills Rd, Yaphank, NY 11980-9634 | 2010-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821489113 | Maura Walters | Speech-Language Pathologist | 430 Sills Road, Yaphank, NY 11980 | 2015-02-09 |
| 1417149386 | Maryhaven Center of Hope Inc. | Clinic/Center | 445 County Road 101, Yaphank, NY 11980 | 2007-08-15 |
| 1326267295 | Wieslawa Zofia Stelzel | Nurse Practitioner | 14 Glover Drive, Jj Foley Snf Suffolk County Department of Health, Yaphank, NY 11980 | 2007-04-25 |
| 1851483879 | Susan Byrne | Social Worker | 1490 Wm Floyd Parkway, Shirley, NY 11980 | 2006-09-28 |
| 1316580111 | Kaylene-lynn Christina Graffitti | Social Worker | 430 Sills Road, Yaphank, NY 11980 | 2019-10-24 |
| 1609433309 | Catherine Gerard | Specialist | 430 Sills Road, Yaphank, NY 11980 | 2019-05-29 |
| 1255801551 | Alexandra Louise Silfer | Physical Therapist | 430 Sills Road, Yaphank, NY 11980 | 2018-11-29 |
| 1497087993 | Linda Mccarthy | Social Worker | 17 Garden Ln, Yaphank, NY 11980-1102 | 2010-02-08 |
| 1578808242 | Jordana D Mcsherry | Licensed Practical Nurse | 9 Charles St, Yaphank, NY 11980-1105 | 2012-12-06 |
| 1669925574 | Kristina Gruenheid-schwimmer | Specialist | 1 Garden Ln, Yaphank, NY 11980-1117 | 2016-07-27 |
| Find all providers in zip 11980 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860612 | Zoe Spiegel | Psychologist | 20 Harding Dr, New Rochelle, NY 10801-4610 | 2020-10-28 |
| 1053910059 | Erin Elizabeth Gurdineer | Psychologist | 131 South Third St, Northville, NY 12134-0608 | 2020-10-21 |
| 1114534310 | Alana May Sandberg | Psychologist | 10421 68th Dr Apt A20, Forest Hills, NY 11375-3475 | 2020-09-30 |
| 1437766177 | Danielle Brudner | Psychologist | 18 Cygnet Rd, Congers, NY 10920-1790 | 2020-09-27 |
| 1023624145 | Karleen Marie Gabriel | Psychologist | 35 Steven Pl, Smithtown, NY 11787-5419 | 2020-09-23 |
| 1730795832 | Erin A Hyle | Psychologist | 9 Maywood Ave, Rye Brook, NY 10573-2401 | 2020-09-23 |
| 1083220826 | Tina Ruggiero | Psychologist | 61 Fox Ct, Manorville, NY 11949-2613 | 2020-09-17 |
| 1952917650 | Margaret Jane Willard | Psychologist | 167 15th St Apt 2l, Brooklyn, NY 11215-4849 | 2020-09-17 |
| 1902410137 | Dana Levine | Psychologist | 7 Chester Dr, Great Neck, NY 11021-4904 | 2020-09-04 |
| 1871107946 | Michele D Jefferson | Psychologist | 66 Main St Apt 525, Yonkers, NY 10701-8853 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.