Samantha Maria Dimeglio, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

026855 Issued in NY

Practice address

519 8TH Ave
9TH Floor
New York, NY 10018-4582

Phone

(212) 683-3339

NPI assigned

Nov 2, 2024

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 19, 2025 through Feb 19, 2027

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1730505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1154144764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 PINE ST",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074462334",
            "telephone_number": "201-819-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 8TH AVE",
            "address_2": "9TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100184582",
            "telephone_number": "212-683-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMEGLIO",
        "first_name": "SAMANTHA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-02",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "026855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Dimarzo, PHARM D
• Adrienne Dimatteo, M.S.ED.
• Carla Louise Dimattina, PT
• Pierce Katahdin Dimauro, NP
• Ellen Dimeglio, PSYD
• Christopher A Dimeo, MD
• Rosemary Dimicelli, DENTAL HYGIENIST
• Alexandra B Dimich, MD
• Ivan G Dimich, M.D.
• Donna Dimichele, MD

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2024; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.