Samantha Nicole Postak

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

3826 E Clubhouse LN
Eagle Mountain, UT 84005-6023

Phone

(801) 735-6674

NPI assigned

Jul 7, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1657152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1306579362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3826 E CLUBHOUSE LN",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840056023",
            "telephone_number": "801-735-6674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3826 E CLUBHOUSE LN",
            "city": "EAGLE MOUNTAIN",
            "state": "UT",
            "postal_code": "840056023",
            "telephone_number": "801-735-6674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSTAK",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0410183366",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "8017356674",
            "affiliation": "N",
            "endpointDescription": "text",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3826 E Clubhouse Ln",
            "city": "Eagle Mountain",
            "state": "UT",
            "country_code": "US",
            "postal_code": "840056023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hailee Platt
• Podera Therapy PLLC
• Sienna J Pollard, LMT
• Brian J Pontius, MPAS PA-C
• Pony Express Dental LLC
• Premier Family Medical - City Center
• Premier Family Medical - Eagle Mountain
• Kacie Preysz, OT
• Elizabeth A Pritt, PA-C
• Christopher Scott Procopio, DMD

• All providers in Eagle Mountain, UT
• Behavior Analyst in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.