Individual provider Active NPI

Samantha Pflum, PHD

  • Clinical Psychologist
  • Chapel Hill, NC
National Provider Identifier
1497134720
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5600 Issued in NC
Practice address
101 Manning Drive Medical School Wing C
Chapel Hill, NC 27599-2401
Phone
(919) 966-3377
NPI assigned
May 19, 2015
Last updated
Mar 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 5600 NC Primary

Addresses

Primary practice location

101 Manning Drive Medical School Wing C
Chapel Hill, NC 27599-2401

Mailing address

504 E Pettigrew St Apt 347
Durham, NC 27701-4473

Other practice location 1

77 Vilcom Center Dr
Chapel Hill, NC 27514-1788
Phone (919) 445-0770

Other practice location 2

1350 Raleigh Rd
Chapel Hill, NC 27517-4412
Phone (984) 974-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191108000773 NC Practitioner - Clinical Psychologist 4284993296 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
5600NCMDPhysical Therapist
022285NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Clinical CurrentSince Oct 1, 2019 Accepting new patients

Locations

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

101 Manning Dr
#C
Chapel Hill, NC 27514
Phone (919) 966-3377

1350 Raleigh Rd
Chapel Hill, NC 27517
Phone (984) 974-4110

211 Friday Center Dr
Ste 2057
Chapel Hill, NC 27517
Phone (984) 974-1281

Interoperability endpoints

  • Direct secure messaging: spflum565689@direct.unc.nchie.net

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584489600000",
    "number": "1497134720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 E PETTIGREW ST APT 347",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MANNING DRIVE MEDICAL SCHOOL WING C",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275992401",
            "telephone_number": "919-966-3377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 Vilcom Center Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275141788",
            "country_code": "US",
            "telephone_number": "919-445-0770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Raleigh Rd",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275174412",
            "country_code": "US",
            "telephone_number": "984-974-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PFLUM",
        "first_name": "SAMANTHA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-19",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.