Samantha Sciarrillo, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY10106 Issued in FL

Practice address

2564 Corbyton CT
Orlando, FL 32828-7514

Phone

(407) 759-5835

NPI assigned

Feb 4, 2013

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dr. Samantha Rae PLLC

  dba Dr. Samantha Rae

  • Clinical Psychologist
  • Orlando, FL
  • NPI 1184227100
  NPD Authorized official

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1558600072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 S CHICKASAW TRL # 1013",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328258414",
            "telephone_number": "407-759-5835",
            "fax_number": "407-759-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2564 CORBYTON CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287514",
            "telephone_number": "407-759-5835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "793 Old Route 119 Hwy N",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157011372",
            "country_code": "US",
            "telephone_number": "724-465-5576",
            "fax_number": "724-465-6379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCIARRILLO",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn R Schwartz, APRN
• Regan Schwartz II, MD
• Regan A Schwartz, MD
• Keri Fae Schwarz
• Erez Schwarzbard, MD
• Scimotech Orlando
• Jenna Scognamillo
• Scooter Store - Orlando LLC (The SCOOTER Store/Alliance Seating and Mobility)
• Michaela Scotchie
• Scott E. Farber, DDS.,P.a

• Clinical Psychologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.