Individual provider Active NPI

Samantha Lindsey Zbur, PH.D.

  • Clinical Psychologist
  • Chesapeake, VA
National Provider Identifier
1558740381
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810005775 Issued in VA
Practice address
1403 Greenbrier Pkwy Ste 215
Chesapeake, VA 23320-0608
Phone
(757) 410-0700
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Psychologist 103TC0700X 0810005775 VA Primary

Addresses

Primary practice location

1403 Greenbrier Pkwy Ste 215
Chesapeake, VA 23320-0608

Mailing address

709 Pinehurst Dr
Chesapeake, VA 23323-4228
Phone (724) 762-2682

Other practice location 1

Geisinger Medical Ctr
100 North Academy Avenue
Danville, PA 17822-0001
Phone (570) 271-6211

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810005775VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Behavior Therapy Center CurrentSince May 9, 2021 Accepting new patients
Ronald W. Atwood, M.D., P.C. Past Accepting new patients

Locations

1403 Greenbrier Pkwy
Ste 215
Chesapeake, VA 23320
Phone (757) 410-0700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1558740381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 PINEHURST DR",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233234228",
            "telephone_number": "724-762-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 GREENBRIER PKWY STE 215",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200608",
            "telephone_number": "757-410-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Geisinger Medical Ctr",
            "address_2": "100 North Academy Avenue",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "PA",
            "postal_code": "178220001",
            "country_code": "US",
            "telephone_number": "570-271-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZBUR",
        "first_name": "SAMANTHA",
        "middle_name": "LINDSEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.