Active NPI
Samantha A Pavlick, WHNP-BC, CNM, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Bridgeville, PA
National Provider Identifier
1295984367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- SP021855
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP010693 | PA | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace of Mind Psychiatry LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
200 Old Pond Rd
Ste 107
Bridgeville, PA 15017
Phone (412) 220-0144
Interoperability endpoints
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Bridgeville, PA
- NPI 1093390965
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.