SAMANTHA EDWARDS


Address: 6 Delisle Avenue, Freeport, NY 11520
Phone: 5163780670

SAMANTHA EDWARDS (NPI# 1700310331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700310331
Entity Type Individual
Full Name SAMANTHA EDWARDS
Practice Address 6 Delisle Avenue
Freeport
NY 11520
Practice Telephone 5163780670
Mailing Telephone 5163780670
Enumeration Date 2017-04-20
Last Update Date 2017-04-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers

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1568980928 Samantha M Edwards Physical Medicine & Rehabilitation 14530 N 42nd St, Tampa, FL 33613-2831 2017-09-06
1205360757 Samantha Kathleen Edwards Student in an Organized Health Care Education/Training Program 7601 Hospital Dr Ste 103, Sacramento, CA 95823 2017-04-11
1588088975 Samantha M Edwards Counselor 617 S Green St, Suite 300, Morganton, NC 28655-3517 2014-02-06
1528318250 Samantha Blair Edwards Physical Therapy Assistant 5417 Wesleyan Dr, Virginia Beach, VA 23455-6922 2012-09-10
1285912659 Samantha Edwards Social Worker 201 W Springdale Ave, Knoxville, TN 37917-5158 2011-08-02

Office Location

Street Address 6 DELISLE AVENUE
City FREEPORT
State NY
Zip Code 11520

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881157154 Barbara Chillemi Registered Nurse 56 Mackay Place, Freeport, NY 11520 2019-04-12
1588171631 Lisa Frank Nurse Practitioner 150 Buffalo Ave, Freeport, NY 11520 2018-01-10
1447775838 Julner Quettant Jr. Physical Therapist 63 St Marks Ave, Freeport, NY 11520 2017-08-07
1679003933 Candice A R Greene Speech-Language Pathologist 12 Summers Place, Freeport, NY 11520 2017-06-19
1275073769 Dorothea Geiger Behavior Technician 90 Hillside Ave, Freeport, NY 11520 2017-03-02
1477092575 Maryhaven Center of Hope,inc Substance Abuse Rehabilitation Facility 150 Buffalo Avenue, Freeport, NY 11520 2017-02-22
1861849135 Daniel Lora Acupuncturist 140 Parsons Ave, Freeport, NY 11520 2016-05-17
1326413790 Beatrice Jeanty Registered Nurse 619 South Long Beach Ave., Freeport, NY 11520 2015-12-10
1134505548 Maria A. Meek Nurse Practitioner 334, West Merrick Rd., Freeport., NY 11520 2015-08-07
1437530854 Tarsha Reynolds Specialist 221 N. Columbus Ave, Freeport, NY 11520 2015-06-11
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and state

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1659996718 Marlee Schwartz Psychologist 351 Manville Rd Ste 104&109, Pleasantville, NY 10570-2152 2020-06-14
1063031946 Gwen Rachel Gordon Rothschild Psychologist 250 E Hartsdale Ave Ste 23, Hartsdale, NY 10530-3574 2020-04-10
1922630631 Juliet Lisa Collingwood Psychologist 471 13th St, Brooklyn, NY 11215-5206 2020-02-11
1578102513 Anne Austin Weissenberger Psychologist 144 King St, Chappaqua, NY 10514-3499 2019-12-21
1114560398 Alison Melville Locker Psychologist 375 Greenwich St Ste 812, New York, NY 10013-2376 2019-10-21
1417502543 Norma Linda Doft Psychologist 295 Central Park W Ofc 4a, New York, NY 10024-3021 2019-08-06
1194387456 Allison Canfield Psychologist Developmental & Behavioral Pediatrics 601 Elmwood Ave, Rochester, NY 14642-0001 2019-07-07
1043870728 Sarah Donovan Psychologist 5151 Fieldstone Trl, Canandaigua, NY 14424-8245 2019-06-16
1265099022 Michelle Gallagher Psychologist Upstate Medical University, 750 E. Adams St., Syracuse, NY 13210 2019-05-28
1063983757 Miriam Shields Psychologist 13681 71st Rd, Flushing, NY 11367-1942 2018-12-06
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Competitor

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City FREEPORT
Zip Code 11520

Improve Information

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Dataset Information

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.

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