Active NPI
Samantha Lawrence, PSYD
- Psychologist
- Hewlett, NY
National Provider Identifier
1619496817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0187601
- Practice address
- 1800 Rockaway Ave
Hewlett, NY 11557-1665 - Phone
- (516) 341-9972
- NPI assigned
- Sep 19, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0187601 | NY | Primary |
Addresses
Primary practice location
1800 Rockaway Ave
Hewlett, NY 11557-1665
Mailing address
103 Wyckoff PL
Woodmere, NY 11598-2131
Phone (516) 698-1511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 2, 2021 through Mar 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0187601 | NY | MD | Psychologist |
| 018760 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505779200000",
"number": "1619496817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 WYCKOFF PL",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115982131",
"telephone_number": "516-698-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 ROCKAWAY AVE",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115571665",
"telephone_number": "516-341-9972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWRENCE",
"first_name": "SAMANTHA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-19",
"last_updated": "2017-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "0187601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hewlett, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.