Individual provider Active NPI

Samantha Chase Spagna, PSY.D.

  • Psychologist
  • St Petersburg, FL
National Provider Identifier
1326913500
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY12964 Issued in FL
Practice address
360 Central Ave Ste 1230
St Petersburg, FL 33701-3865
Phone
(727) 565-2424
Fax
(727) 440-8148
NPI assigned
Oct 8, 2025
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY12964 FL Primary

Addresses

Primary practice location

360 Central Ave Ste 1230
St Petersburg, FL 33701-3865

Mailing address

360 Central Ave Ste 1230
St Petersburg, FL 33701-3865
Phone (727) 565-2424

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

LicenseStateTypeSpecialty
PY12964FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saible Neuropsychology LLC CurrentSince Oct 12, 2025 Accepting new patients

Locations

360 Central Ave
Ste 1230
St Petersburg, FL 33701
Phone (727) 565-2424

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1326913500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE STE 1230",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013865",
            "telephone_number": "727-565-2424",
            "fax_number": "727-440-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 CENTRAL AVE STE 1230",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013865",
            "telephone_number": "727-565-2424",
            "fax_number": "727-440-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAGNA",
        "first_name": "SAMANTHA",
        "middle_name": "CHASE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY12964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.