Samantha Brown, PSYD
Individual provider Active NPI Clinical Psychologist · Orangeburg, NY
NPI 1164049003 · NPPES record last updated Jan 30, 2026
Key facts
- NPI
- 1164049003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 027339 (NY)
- Practice address
- 140 Old Orangeburg Rd
Orangeburg, NY 10962-1157 - Phone
- (845) 359-1000
- NPI assigned
- Jun 26, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260212003476 | NY | Order and Referring Only - Clinical Psychologist | 8921588666 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bridgewell Counseling | Mental Health | Past |
Accepting new patients |
| Bridgewell, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 027339 | NY | Yes |
Addresses
Primary practice location
140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Mailing address
140 Old Orangeburg Rd
Orangeburg, NY 10962-1157
Phone (845) 359-1000
Other providers in Orangeburg, NY
- Anne-Marie Boyle
- Bridge of Love and Peace Inc
- Leopold Paul Brief
- Krystle Angeline Broadbelt
- James Michael Brosnan
- Jeanne-Marie Browne
- Dorothy Brunache
- Eileen Elizabeth Buckley
- Khatija Nazir Bukhari
- Katelin Jean Burns
All providers in Orangeburg, NY · Clinical Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.