Samantha Mann

Primary specialty

PsychologistTaxonomy code 103T00000X

License

757 Issued in WV

Practice address

804 Industrial Park Rd
Maxwelton, WV 24957-8066

Phone

(888) 736-3229

Fax

(304) 497-0156

NPI assigned

Sep 21, 2006

Last updated

Feb 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seneca Health Services IncGroup PAC ID 8022005263, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Seneca Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Maxwelton, WV
  • NPI 1154532513
  Medicare reassignment Care Compare group NPD
• Seneca Health Services, Inc.

  • Family Medicine Physician
  • Maxwelton, WV
  • NPI 1235838954
  NPD
• Ahmed D Faheem

  dba Appalachian Psychiatric Services

  • Psychologist
  • Beckley, WV
  • NPI 1174668594
  NPD (past)
• Appalachian Psychiatric Services PLLC

  • Psychiatry Physician
  • Beckley, WV
  • NPI 1982056404
  NPD (past)
• Seneca Health Services Inc

  • Community/Behavioral Health Agency
  • Maxwelton, WV
  • NPI 1245441609
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1003915711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 INDUSTRIAL PARK RD",
            "city": "MAXWELTON",
            "state": "WV",
            "postal_code": "249578066",
            "telephone_number": "304-486-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 INDUSTRIAL PARK RD",
            "city": "MAXWELTON",
            "state": "WV",
            "postal_code": "249578066",
            "telephone_number": "888-736-3229",
            "fax_number": "304-497-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2269",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Kirk
• Skyler Dawn Lambert
• Wesley Landis
• Courtney Brooke Lindsey
• Ashley Renee Mandeville, LPN
• Ahisha Marshall, BSN,RN
• Richard Lee Martin Jr., CPRS
• Tabatha Sue Martin, LPN
• Tammy Lou Martin
• Hailey Shae McCallister

• Psychologist in Maxwelton, WV
• Providers in Maxwelton, WV by specialty
• Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.