Individual provider Active NPI

Samantha Jordan Lederman, M.A.

  • Psychologist
  • Farmington Hills, MI
National Provider Identifier
1487837340
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361001999 Issued in MI
Practice address
38345 W 10 Mile Rd
Freeway Office Plaza, Suite 150
Farmington Hills, MI 48335-2867
Phone
(248) 478-0422
NPI assigned
Dec 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6361001999 MI Primary

Addresses

Primary practice location

38345 W 10 Mile Rd
Freeway Office Plaza, Suite 150
Farmington Hills, MI 48335-2867

Mailing address

35986 W 13 Mile Rd
Farmington Hills, MI 48331-2510
Phone (248) 867-0260

Other practice location 1

200 E Big Beaver Rd
Troy, MI 48083-1208
Phone (734) 265-0841

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6361001999MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sally Barbat PLLC Psychologist PastSince Feb 13, 2021 Accepting new patients
Oasis Counseling Center, PLLC PastSince Aug 20, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1487837340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35986 W 13 MILE RD",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312510",
            "telephone_number": "248-867-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38345 W 10 MILE RD",
            "address_2": "FREEWAY OFFICE PLAZA, SUITE 150",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483352867",
            "telephone_number": "248-478-0422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 E Big Beaver Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480831208",
            "country_code": "US",
            "telephone_number": "734-265-0841",
            "fax_number": "734-356-3325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDERMAN",
        "first_name": "SAMANTHA",
        "middle_name": "JORDAN",
        "name_prefix": "Miss",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-13",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361001999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.