Active NPI
Samantha Ross
- Psychologist
- Louisville, KY
National Provider Identifier
1396199485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 172176
- Practice address
- 312 S 4TH St
Louisville, KY 40202-3021 - Phone
- (323) 205-7088
- NPI assigned
- Apr 15, 2016
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 172176 | KY | Primary |
| Clinical Psychologist | 103TC0700X | 172176 | KY |
Addresses
Primary practice location
312 S 4TH St
Louisville, KY 40202-3021
Mailing address
8787 Brookpark Rd
Parma, OH 44129-6809
Phone (216) 739-7000
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 |
|---|---|---|---|
| 172176 | KY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Veteran'S Affairs | Past | Accepting new patients |
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.
-
- Public Health or Welfare Agency
- Calcutta, OH
- NPI 1073761490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1396199485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8787 BROOKPARK RD",
"city": "PARMA",
"state": "OH",
"postal_code": "441296809",
"telephone_number": "216-739-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 S 4TH ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402023021",
"telephone_number": "323-205-7088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "SAMANTHA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-15",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "KY",
"license": "172176",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "172176",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.