Active NPI
Samantha Pia Mehlman
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
National Provider Identifier
1245853993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 403158
- Practice address
- 115 W 30TH St RM 400
New York, NY 10001-4075 - Phone
- (516) 318-1213
- NPI assigned
- May 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Registered Nurse | 163WX0200X | 682786 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 403158 | NY | Primary |
Addresses
Primary practice location
115 W 30TH St RM 400
New York, NY 10001-4075
Mailing address
115 W 30TH St RM 400
New York, NY 10001-4075
Phone (516) 318-1213
Other practice location 1
525 E 68th St
New York, NY 10065-4870
Phone (212) 746-0329
Other practice location 2
241 37th St Fl 6
Brooklyn, NY 11232-2420
Phone (516) 318-1213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 682786 | NY | MD | Oncology Registered Nurse |
| 403158 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631750400000",
"number": "1245853993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W 30TH ST RM 400",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100014075",
"telephone_number": "516-318-1213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W 30TH ST RM 400",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100014075",
"telephone_number": "516-318-1213"
}
],
"practiceLocations": [
{
"address_1": "525 E 68th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100654870",
"country_code": "US",
"telephone_number": "212-746-0329",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "241 37th St Fl 6",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112322420",
"country_code": "US",
"telephone_number": "516-318-1213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEHLMAN",
"first_name": "SAMANTHA",
"middle_name": "PIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-28",
"last_updated": "2021-09-16",
"certification_date": "2021-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "NY",
"license": "682786",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "403158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.