Samantha Stehle, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

017075 Issued in NY

Practice address

185 Roslyn Rd
Suite 3
Roslyn Heights, NY 11577-1356

Phone

(516) 304-4005

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• Vitality Wellness NP in Psychiatry and Family Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Floral Park, NY
  • NPI 1154153211
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1013074079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 2ND AVE UNIT 401",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404893",
            "telephone_number": "516-304-4005",
            "fax_number": "516-717-3606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 ROSLYN RD",
            "address_2": "SUITE 3",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771356",
            "telephone_number": "516-304-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEHLE",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "017075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sotelo-Dynega Psychological Services, PLLC
• Richard Alcin Sousa, DDS
• Michelle R Spataro, LCSW
• Robert Steven Spitalnik, PH.D.
• Stacy Popkin-Zang, PSYD, PLLC
• Jeremy Adam Sternberg, LMSW
• Steven M Silverman DC PC
• Christopher Michael Storch, LMSW
• Diane Stranieri, NURSE PRACTITIONER
• Hannah Sage Suesserman, LMSW

• Clinical Psychologist in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.