Active NPI
Samantha Fantauzzi
- Marriage & Family Therapist
- Newburgh, NY
National Provider Identifier
1508735465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 002618
- Practice address
- 550 Stony Brook CT
Newburgh, NY 12550-6556 - Phone
- (845) 844-0708
- NPI assigned
- Oct 30, 2025
- Last updated
- Jan 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 002618 | NY | Primary |
Addresses
Primary practice location
550 Stony Brook CT
Newburgh, NY 12550-6556
Mailing address
1613 Route 9D
Wappingers Falls, NY 12590-7104
Phone (845) 844-0708
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1508735465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1613 ROUTE 9D",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125907104",
"telephone_number": "845-844-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 STONY BROOK CT",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125506556",
"telephone_number": "845-844-0708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FANTAUZZI",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-30",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "002618",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.