Katherine Samodulski, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008006 Issued in NY

Practice address

17 Weeks Ave
Oyster Bay, NY 11771-2308

Phone

(646) 233-9337

NPI assigned

Aug 16, 2017

Last updated

May 4, 2021By the provider in NPPES

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

Other names 1

• Katherine Samodulski Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1558887141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WEEKS AVE",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712308",
            "telephone_number": "646-233-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WEEKS AVE",
            "city": "OYSTER BAY",
            "state": "NY",
            "postal_code": "117712308",
            "telephone_number": "646-233-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMODULSKI",
        "first_name": "KATHERINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "SAMODULSKI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Bonnie Sager, O.D.
• Patricia Ellen Salvato, MA, CCC, SLP
• Samantha J Ratner DPM PLLC
• Samodulski Physical Therapy PC
• Julian Thomas Samodulski, D.P.T.
• James Eugene Santelli Jr., DDS
• Joni Scheidt, MD
• Christopher Schrager, ATC
• Andrea Phyllis Sebo, R.N.
• Ann Sefton, L.AC

• Mental Health Counselor in Oyster Bay, NY
• Providers in Oyster Bay, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.