Individual provider Active NPI

Samantha Megan McVancel, PHD

  • Psychologist
  • Iowa City, IA
National Provider Identifier
1508604091
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
115600 Issued in IA
Practice address
500 Blank Honors Ctr
Iowa City, IA 52242-0454
Phone
(480) 467-4526
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X 127582 IA
Psychologist 103T00000X 115600 IA Primary

Addresses

Primary practice location

500 Blank Honors Ctr
Iowa City, IA 52242-0454

Mailing address

500 Blank Honors Ctr
Iowa City, IA 52242-0454
Phone (480) 467-4526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20250626000475 IA Practitioner - Clinical Psychologist 4486166246 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127582IAMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa Psychologist CurrentSince May 1, 2025 Accepting new patients
State University of Iowa CurrentSince May 1, 2025 Accepting new patients

Locations

125 S Dubuque St
Iowa City, IA 52240

600 Blank Honors Ctr
Iowa City, IA 52242
Phone (319) 335-6148

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": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1508604091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 BLANK HONORS CTR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522420454",
            "telephone_number": "480-467-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BLANK HONORS CTR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522420454",
            "telephone_number": "480-467-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCVANCEL",
        "first_name": "SAMANTHA",
        "middle_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IA",
            "license": "127582",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "115600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.