Active NPI
Jodi Samson
- Behavior Analyst
- New York, NY
National Provider Identifier
1598043465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 146824972
- Practice address
- 860 9TH Ave Apt 2RS
New York, NY 10019-4432 - Phone
- (917) 804-3097
- NPI assigned
- Jul 26, 2011
- 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 |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 146824972 | NY | Primary |
Addresses
Primary practice location
860 9TH Ave Apt 2RS
New York, NY 10019-4432
Mailing address
860 9TH Ave Apt 2RS
New York, NY 10019-4432
Phone (917) 804-3097
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146824972 | NY | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311638400000",
"number": "1598043465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 9TH AVE APT 2RS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100194432",
"telephone_number": "917-804-3097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "860 9TH AVE APT 2RS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100194432",
"telephone_number": "917-804-3097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMSON",
"first_name": "JODI",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-26",
"last_updated": "2011-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NY",
"license": "146824972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.