Active NPI
Qatana Samanen, PH.D.
- Psychologist
- Phoenixville, PA
National Provider Identifier
1629193883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS-004850-L
- Practice address
- 145 Jug Hollow Rd
Phoenixville, PA 19460-2737 - Phone
- (610) 935-9335
- Fax
- (610) 983-9602
- NPI assigned
- Mar 20, 2007
- 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 | PS-004850-L | PA | Primary |
Addresses
Primary practice location
145 Jug Hollow Rd
Phoenixville, PA 19460-2737
Mailing address
145 Jug Hollow Rd
Phoenixville, PA 19460-2737
Phone (610) 935-9335
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-004850-L | PA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359331200000",
"number": "1629193883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 JUG HOLLOW RD",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194602737",
"telephone_number": "610-935-9335",
"fax_number": "610-983-9602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 JUG HOLLOW RD",
"city": "PHOENIXVILLE",
"state": "PA",
"postal_code": "194602737",
"telephone_number": "610-935-9335",
"fax_number": "610-983-9602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMANEN",
"first_name": "QATANA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2013-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS-004850-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenixville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.