Samantha Midwood

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

148609 Issued in CA

Practice address

10650 Treena St Ste 103
San Diego, CA 92131-2436

Phone

(858) 717-9145

NPI assigned

Aug 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 17, 2026 through Feb 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hilber Psychological Services a Professional Corporation

  dba Hilber Psychological Services

  • Psychologist
  • San Diego, CA
  • NPI 1528822434

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1558193607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 TREENA ST STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 TREENA ST STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312436",
            "telephone_number": "858-717-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDWOOD",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "148609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ji Eun Midlam, LCSW
• Jaclyn Marie Midland, RD
• Naomi R Midura, LMFT
• Midway Chiropractic
• Midway Optometry
• Alexa Kay Mier, MD
• Jacob Mier
• Mary Helen Mier
• Christa Marie Miesner, ASW
• Olga Mieth, MOMPT

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.