Individual provider Active NPI

Samantha Hurkmans, PSYD

  • Psychologist
  • Milwaukee, WI
National Provider Identifier
1215416227
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
10150 W National Ave Ste 390
Milwaukee, WI 53227-2145
Phone
(414) 545-4430
NPI assigned
Aug 9, 2018
Last updated
Nov 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

10150 W National Ave Ste 390
Milwaukee, WI 53227-2145

Mailing address

4624 S Kansas Ave
Saint Francis, WI 53235-5334

Other practice location 1

2108 63rd St
Kenosha, WI 53143-4454
Phone (262) 652-2406

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1215416227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4624 S KANSAS AVE",
            "city": "SAINT FRANCIS",
            "state": "WI",
            "postal_code": "532355334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 W NATIONAL AVE STE 390",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532272145",
            "telephone_number": "414-545-4430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2108 63rd St",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531434454",
            "country_code": "US",
            "telephone_number": "262-652-2406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURKMANS",
        "first_name": "SAMANTHA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.