Sampson PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP1373 Issued in MN

Legal business name

SAMPSON PA

Practice address

914 Minnesota St
Hibbing, MN 55746

Phone

(218) 262-4453

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Raymond N Sampson, PHD LICENSED PSYCHOL

Title

Ceo Owner

Phone

(218) 262-4453

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174738215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 1ST ST N",
            "address_2": "SUITE 3100",
            "city": "VIRGINIA",
            "state": "MN",
            "postal_code": "55792",
            "telephone_number": "218-741-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 MINNESOTA ST",
            "city": "HIBBING",
            "state": "MN",
            "postal_code": "55746",
            "telephone_number": "218-262-4453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMPSON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "218-262-4453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LICENSED PSYCHOL"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP1373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "6118559",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8L848SA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Saksa, O.D.
• Katie Jo Christine Saletel, APRN, CNP
• Jennifer Salminen
• Brendan Scott Salo, PHARM.D.
• Kaili Marissa Salo
• Jenna Samsa
• Heather Rae Sandnas, RN
• Renata Anna Schmidt, M.D.
• Weston Mark Schmidt, MDT
• Katherine Schmidtbauer, LPCC

• Clinical Psychologist in Hibbing, MN
• Providers in Hibbing, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.