Individual provider Active NPI

Samantha Ladell, PSYD

  • Psychologist
  • New York, NY
National Provider Identifier
1073262846
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
025054 Issued in NY
Practice address
303 5TH Avenue
Suite 1503
New York, NY 10016-6666
Phone
(347) 292-8989
NPI assigned
Mar 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 025054 NY Primary

Addresses

Primary practice location

303 5TH Avenue
Suite 1503
New York, NY 10016-6666

Mailing address

303 5TH Avenue
Suite 1503
New York, NY 10016-6666
Phone (347) 292-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
025054NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Psychology, PLLC Current Accepting new patients

Locations

303 5th Ave
Rm 1503
New York, NY 10016
Phone (212) 675-2025

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1647820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1073262846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 5TH AVENUE",
            "address_2": "SUITE 1503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166666",
            "telephone_number": "347-292-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVENUE",
            "address_2": "SUITE 1503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166666",
            "telephone_number": "347-292-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADELL",
        "first_name": "SAMANTHA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-21",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "025054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.