Individual provider Active NPI

Samoan Johnson Robinson, PH.D.

  • Psychologist
  • Houston, TX
National Provider Identifier
1629229968
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
34111 Issued in TX
Practice address
2450 Fondren Rd Ste 312
Houston, TX 77063-2323
Phone
(713) 789-7560
NPI assigned
Oct 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 34111 TX Primary

Addresses

Primary practice location

2450 Fondren Rd Ste 312
Houston, TX 77063-2323

Mailing address

5415 Lawndale St Unit 230291
Houston, TX 77023-3700
Phone (713) 789-7560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090126000164 TX Practitioner - Clinical Psychologist 8628130465 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
34111TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
CPF SJN Outpatient, LLC Psychologist CurrentSince Nov 1, 2025 Accepting new patients

Locations

2450 Fondren Rd
Ste 312
Houston, TX 77063
Phone (713) 914-0277

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1629229968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 LAWNDALE ST UNIT 230291",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770233700",
            "telephone_number": "713-789-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 FONDREN RD STE 312",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632323",
            "telephone_number": "713-789-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "SAMOAN",
        "middle_name": "JOHNSON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-06",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.