Organization Active NPI

Samantha Hiotakis LLC

  • Psychologist
  • Southampton, NY
National Provider Identifier
1063059541
Registry record updated Dec 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SAMANTHA HIOTAKIS LLC
Practice address
46 Main St
Southampton, NY 11968-4864
Phone
(631) 255-7715
NPI assigned
Dec 4, 2019
Last updated
Dec 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2019

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

Authorized official

Name
Dr. Samantha Hiotakis, PSY.D.NPI 1649616079
Title
Ceo
Phone
(631) 255-7715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

46 Main St
Southampton, NY 11968-4864

Mailing address

50 Hill St Ste 520
Southampton, NY 11968-5317
Phone (631) 255-7715

National Provider Directory

National Provider Directory

Locations

46 Main St
Southampton, NY 11968
Phone (347) 658-4678

50 Hill St
Ste 520
Southampton, NY 11968

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575417600000",
    "number": "1063059541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HILL ST STE 520",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119685317",
            "telephone_number": "631-255-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 MAIN ST",
            "city": "SOUTHAMPTON",
            "state": "NY",
            "postal_code": "119684864",
            "telephone_number": "631-255-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA HIOTAKIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-04",
        "status": "A",
        "authorized_official_last_name": "HIOTAKIS",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-255-7715",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southampton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.