Active NPI
John George Samanich, MD, MS
- Child & Adolescent Psychiatry Physician
- Armonk, NY
National Provider Identifier
1598819971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 225961
- Practice address
- 1 Hunter Ave Ste a
Armonk, NY 10504-2025 - Phone
- (914) 236-0336
- NPI assigned
- Jan 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 225961 | NY | Primary |
Addresses
Primary practice location
1 Hunter Ave Ste a
Armonk, NY 10504-2025
Mailing address
8 Saddle Ridge Rd
Pound Ridge, NY 10576-1110
Phone (917) 279-9324
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
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225961 | NY | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646179200000",
"number": "1598819971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 SADDLE RIDGE RD",
"city": "POUND RIDGE",
"state": "NY",
"postal_code": "105761110",
"telephone_number": "917-279-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HUNTER AVE STE A",
"city": "ARMONK",
"state": "NY",
"postal_code": "105042025",
"telephone_number": "914-236-0336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMANICH",
"first_name": "JOHN",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"credential": "MD, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "225961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Armonk, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.