Samantha Schoonover, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

38244 Issued in TX

Practice address

11001 D St RM 1285
Corpus Christi, TX 78419-5020

Phone

(361) 961-6000

NPI assigned

Aug 16, 2019

Last updated

Sep 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, MO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Senior Psychological Care Sa I, LLC

  • Psychologist
  • Houston, TX
  • NPI 1205122355
  Medicare reassignment NPD
• State of Missouri

  dba Fulton State Hospital

  • Psychiatry Physician
  • Fulton, MO
  • NPI 1164477873
  Medicare reassignment

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1609422401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 RIDGEWOOD DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779012562",
            "telephone_number": "210-316-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11001 D ST RM 1285",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784195020",
            "telephone_number": "361-961-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOONOVER",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-16",
        "last_updated": "2022-09-20",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38244",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "38244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Schoenbacher, MS, RD, LD
• Steven M. Schoenicke, CRNA
• Kimberly T Scholz, PTA
• Kyla Marie Scholz, M.D.
• Kevin Patrick Schooler, M.D.
• Elaine Schroeder, M.A., CCC/SLP
• Connor Schromm
• Alfred William Schubert IV, PT, DPT
• Grace Belle Schuette
• Heidi L Schultz, MD

• Clinical Psychologist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.