DR. SAMANTHA GWEN FARRIS (NPI# 1467061051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467061051 |
Entity Type | Individual |
Full Name | DR. SAMANTHA GWEN FARRIS |
Credential | PHD |
Practice Address |
1 Spring St New Brunswick NJ 08901-2276 |
Mailing Address |
56 Spruce St Apt B Princeton NJ 08542-3812 |
Practice Telephone | 9082298991 |
Mailing Telephone | 9082298991 |
Enumeration Date | 2020-07-29 |
Last Update Date | 2020-07-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 103TC0700X |
Psychologist Specialization: Clinical |
PS01643 | RI | Behavioral Health & Social Service Providers |
Y | 103TC0700X |
Psychologist Specialization: Clinical |
35SI00600200 | NJ | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053761965 | Samantha Hartman Farris | Social Worker | 2615 Stadium Dr, Kalamazoo, MI 49008-1654 | 2016-06-21 |
1346673100 | Samantha Paige Farris | Physician Assistant | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2013-08-15 |
Street Address |
1 SPRING ST |
City | NEW BRUNSWICK |
State | NJ |
Zip Code | 08901-2276 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134673502 | Ali Raza Esmail | Otolaryngology | 1 Spring St, 2304, New Brunswick, NJ 08901-2276 | 2016-08-15 |
1750723185 | Drasti Makwana | Optometrist | 1 Spring St, Suite 101, New Brunswick, NJ 08901-2276 | 2013-07-26 |
1306130638 | Karina Manukyan | Technician/Technologist | 1 Spring St, Unit 101, New Brunswick, NJ 08901-2276 | 2011-06-03 |
1730338914 | Comprehensive Eye Care Professionals LLC | Optometrist | 1 Spring St, Unit 101, New Brunswick, NJ 08901-2276 | 2008-09-12 |
1033371331 | Optical Boutique LLC | Optometrist | 1 Spring St, Unit 101, New Brunswick, NJ 08901-2276 | 2008-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
Find all providers in zip 08901 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952927634 | Gordon Presley | Psychologist | 317 George St. Suite 320, New Brunswick, NJ 08901-2091 | 2020-06-18 |
1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
1073844890 | Karen Ann Owen | Psychologist | 623 Georges Rd, New Brunswick, NJ 08902-3386 | 2010-01-18 |
1699977215 | Janet Rochelle Brice-baker | Psychologist | 178 Livingston Ave, New Brunswick, NJ 08901-2938 | 2007-06-05 |
1184709412 | Anne Stearns Pardun | Psychologist | 142 Livingston Ave, Suite 5, New Brunswick, NJ 08901-3087 | 2006-10-26 |
1124681408 | Amy Lynn Kavanaugh | Psychologist | 123 How Ln, New Brunswick, NJ 08901-3653 | 2019-04-22 |
1790293819 | Kathryn Hottinger | Psychologist | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2018-01-11 |
1376079590 | Saint Peter's University Hospital | Psychologist | 254 Easton Ave, Managed Care, New Brunswick, NJ 08901-1766 | 2017-05-08 |
1154862001 | Keri Petrone, Psy.d., LLC | Psychologist | 142 Livingston Ave, Ste 5, New Brunswick, NJ 08901-3087 | 2017-03-11 |
1457753659 | Katherine Elizabeth O'leary | Psychologist | 17 Senior St, New Brunswick, NJ 08901-8534 | 2014-09-18 |
Find all providers in NEW BRUNSWICK |
City | NEW BRUNSWICK |
Zip Code | 08901 |
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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.