Samantha Fugate Kennedy, D.O.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

5101020751 Issued in MI

Practice address

1660 Haslett Rd
Haslett, MI 48840-8469

Phone

(517) 347-8420

Fax

(517) 347-8420

NPI assigned

Jun 21, 2013

Last updated

Feb 9, 2026By the provider in NPPES

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

Other names 1

• Samantha Ann Fugate Former name

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Michigan State University College of Osteopathic Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Montcalm Care NetworkGroup PAC ID 8123000932, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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

• Montcalm Care Network

  • Community/Behavioral Health Agency
  • Stanton, MI
  • NPI 1710074448
  Medicare reassignment Care Compare group NPD
• Edward W. Sparrow Hospital Association

  dba Sparrow Regional Children's Center

  • Pediatrics Physician
  • Lansing, MI
  • NPI 1831139088
  Medicare reassignment NPD
• Hurley Medical Center

  dba Hurley OB/GYN Research & Education

  • Obstetrics & Gynecology Physician
  • Flint, MI
  • NPI 1982630844
  Medicare reassignment NPD
• Mid-Mitten Pediatric Psychiatry

  • Child & Adolescent Psychiatry Physician
  • Haslett, MI
  • NPI 1902499767
  NPD Authorized official
• Community Mental Health Authority Clinton Eaton Ingham Counties

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lansing, MI
  • NPI 1265483457

  Psychiatry

  NPD
• Edward W Sparrow Hospital Association

  dba University of Michigan Health-Sparrow

  • Adult Health Nurse Practitioner
  • Lansing, MI
  • NPI 1265220438
  NPD
• Edward W. Sparrow Hospital Association

  dba Sparrow Behavioral Health Services

  • Psychiatry Physician
  • Lansing, MI
  • NPI 1811942436
  NPD
• Hurley Medical Center

  dba Hurley Clinical Psychiartists

  • Psychiatry Physician
  • Flint, MI
  • NPI 1457387201
  NPD
• Hurley Medical Center

  • Plastic and Reconstructive Surgery Physician
  • Flint, MI
  • NPI 1689345761
  NPD

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1154760312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 HASLETT RD STE 1",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408469",
            "telephone_number": "517-347-8420",
            "fax_number": "517-347-8420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 HASLETT RD",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488408469",
            "telephone_number": "517-347-8420",
            "fax_number": "517-347-8420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SAMANTHA",
        "middle_name": "FUGATE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-21",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MI",
            "license": "5101020751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "FUGATE",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen Houghton, PT
• Elizabeth Anne Hutchinson, M.D.
• Jami a. Wichert M.D. PLLC (Haslett Community Pediatrics)
• Jeannine M Taylor LMSW LLC
• Tina Kakish
• Casey Kern, PT
• Daniel Charles Langhorst, O.D.
• Barry L Laughlin, MD
• Leonard Vanderjagt, PH.D. & Associates
• Levandowski, LLC (Atlas Drugs)

• Child & Adolescent Psychiatry Physician in Haslett, MI
• Providers in Haslett, MI by specialty
• Child & Adolescent Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.