Samantha Burns Artherholt, PHD, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

PY00003648 Issued in WA

Legal business name

SAMANTHA BURNS ARTHERHOLT, PHD, LLC

Practice address

600 Stewart St Ste 724
Seattle, WA 98101-1227

Phone

(414) 533-5825

NPI assigned

Nov 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Samantha Burns Artherholt, PHD

Title

Member/Owner

Phone

(206) 412-0142

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Burns, PHD

  • Psychologist
  • Seattle, WA
  • NPI 1548571904
  Medicare reassignment NPD
• Christeine Michelle Terry, PH.D.

  • Clinical Psychologist
  • Seattle, WA
  • NPI 1467754101
  NPD

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1124423041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27136",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981651536",
            "telephone_number": "414-533-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 STEWART ST STE 724",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011227",
            "telephone_number": "414-533-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA BURNS ARTHERHOLT, PHD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-04",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "ARTHERHOLT",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "BURNS",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "206-412-0142",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WA",
            "license": "PY00003648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmeen Samad, RDN, CD
• Zimare S Samah
• Aminah Samal
• Kathryn L. Samaniego, AU.D.
• Kristopher Michael Samaniego
• Samantha Hayden, PLLC
• Samantha Menendez
• Brian Manuel Samar, PHARMD
• Binta Samateh
• Sundara R Samavedi, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Seattle, WA
• Providers in Seattle, WA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.