Individual provider Active NPI

Samantha A Pavlick, WHNP-BC, CNM, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bridgeville, PA
National Provider Identifier
1295984367
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP021855 Issued in PA
Practice address
200 Old Pond Rd Ste 107
Bridgeville, PA 15017-1269
Phone
(412) 319-7866
Fax
(412) 914-8635
NPI assigned
Sep 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X SP010693 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP021855 PA Primary

Addresses

Primary practice location

200 Old Pond Rd Ste 107
Bridgeville, PA 15017-1269

Mailing address

200 Old Pond Rd Ste 107
Bridgeville, PA 15017-1269
Phone (412) 319-7866

Other practice location 1

6000 Waterdam Plaza Dr Ste 270
Mc Murray, PA 15317-5409
Phone (412) 923-6070

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address drdan@psycareinc.gwaydirect.com
Direct Messaging Address peaceofmind@pompsychiatry.com PEACE OF MIND PSYCHIATRY LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120306000435 PA Practitioner - Nurse Practitioner 6901953272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peace of Mind Psychiatry LLCGroup PAC ID 2466860028, 8 clinicians

Practice addresses (Care Compare)

200 Old Pond Rd
Suite 107
Bridgeville, PA 15017-1269
Phone (412) 319-7866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP010693PAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Psychiatry LLC Psychiatric/Mental Health CurrentSince Apr 15, 2025 Accepting new patients

Locations

200 Old Pond Rd
Ste 107
Bridgeville, PA 15017
Phone (412) 220-0144

Interoperability endpoints

  • Direct secure messaging: drdan@psycareinc.gwaydirect.com

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": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1295984367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OLD POND RD STE 107",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171269",
            "telephone_number": "412-319-7866",
            "fax_number": "412-914-8635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OLD POND RD STE 107",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171269",
            "telephone_number": "412-319-7866",
            "fax_number": "412-914-8635"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6000 Waterdam Plaza Dr Ste 270",
            "address_purpose": "LOCATION",
            "city": "Mc Murray",
            "state": "PA",
            "postal_code": "153175409",
            "country_code": "US",
            "telephone_number": "412-923-6070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAVLICK",
        "first_name": "SAMANTHA",
        "middle_name": "A",
        "credential": "WHNP-BC, CNM, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "SP010693",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP021855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drdan@psycareinc.gwaydirect.com",
            "affiliation": "N",
            "address_1": "6000 Waterdam Plaza Dr Ste 270",
            "city": "Mc Murray",
            "state": "PA",
            "country_code": "US",
            "postal_code": "153175409",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peaceofmind@pompsychiatry.com",
            "affiliation": "Y",
            "affiliationName": "PEACE OF MIND PSYCHIATRY LLC",
            "address_1": "200 Old Pond Rd Ste 107",
            "city": "Bridgeville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "150171269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

Verify at the official NPI Registry.