Philip Dean Samaha

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

369 NE Revere Ave Ste 101
Bend, OR 97701-4082

Phone

(203) 273-1273

NPI assigned

Aug 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1437706157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 MARCOLA RD",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974777948",
            "telephone_number": "541-726-1465",
            "fax_number": "541-726-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 NE REVERE AVE STE 101",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014082",
            "telephone_number": "203-273-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMAHA",
        "first_name": "PHILIP",
        "middle_name": "DEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Salmon
• Elena Evelyn Salpas, PA-C
• Gillian G Salton, MD
• Joshua Salvo
• Ryan Salyer, PT, DPT
• Candice Samano
• Samantha Bennett LCSW Therapy LLC
• Samara Learning Center
• Jillian Elizabeth Sammon, LCSW
• Travis Sammon, MSW, LCSW

• Mental Health Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.