Individual provider Active NPI

Samantha Noelle Hellberg, PHD

  • Psychologist
  • Seattle, WA
National Provider Identifier
1487528634
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSYC.PY.61639664 Issued in WA
Practice address
6553 California Ave SW Ste B
Seattle, WA 98136-1896
Phone
(206) 705-3056
NPI assigned
Oct 1, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 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 PSYC.PY.61639664 WA Primary

Addresses

Primary practice location

6553 California Ave SW Ste B
Seattle, WA 98136-1896

Mailing address

6553 California Ave SW Ste B
Seattle, WA 98136-1896
Phone (206) 705-3056

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSYC.PY.61639664WAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759276800000",
    "number": "1487528634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6553 CALIFORNIA AVE SW STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361896",
            "telephone_number": "206-705-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6553 CALIFORNIA AVE SW STE B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361896",
            "telephone_number": "206-705-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLBERG",
        "first_name": "SAMANTHA",
        "middle_name": "NOELLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PSYC.PY.61639664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.