Individual provider Active NPI

Samantha Block Saltz, M.D.

  • Child & Adolescent Psychiatry Physician
  • Boca Raton, FL
National Provider Identifier
1184067704
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
ME131698 Issued in FL
Practice address
2600 N Military TRL Ste 355
Boca Raton, FL 33431-6330
Phone
(561) 510-9150
Fax
(561) 600-9655
NPI assigned
Apr 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME131698 FL
Child & Adolescent Psychiatry Physician 2084P0804X ME131698 FL Primary

Addresses

Primary practice location

2600 N Military TRL Ste 355
Boca Raton, FL 33431-6330

Mailing address

2600 N Military TRL Ste 355
Boca Raton, FL 33431-6330
Phone (561) 510-9150

Other names 1

  • Samantha Gayle Block Former name

Medicare participation

Medicare enrollment files
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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 2, 2022 through May 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME131698FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Sam, LLC Psychiatry CurrentSince May 1, 2022 Accepting new patients

Locations

2600 N Military Trl
Ste 355
Boca Raton, FL 33431
Phone (561) 510-9150

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1184067704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 N MILITARY TRL STE 355",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316330",
            "telephone_number": "561-510-9150",
            "fax_number": "561-600-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MILITARY TRL STE 355",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316330",
            "telephone_number": "561-510-9150",
            "fax_number": "561-600-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALTZ",
        "first_name": "SAMANTHA",
        "middle_name": "BLOCK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME131698",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME131698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BLOCK",
            "middle_name": "GAYLE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.