Samantha Lorine Wheeler, PH.D., LCSW

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301015601 Issued in MI

Practice address

694 W. Chicago Street
Coldwater, MI 49068

Phone

(517) 279-8866

Fax

(517) 279-8866

NPI assigned

May 17, 2006

Last updated

Apr 10, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• New Beginnings Psychological Services PC

  • Psychologist
  • Coldwater, MI
  • NPI 1689727505
  NPD (past)
• Edgewood Clinical Services, P.C.

  dba LifeStance

  • Psychologist
  • Naperville, IL
  • NPI 1295914646
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1649222555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "694 W. CHICAGO STREET",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "49068",
            "telephone_number": "517-279-8866",
            "fax_number": "517-279-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "694 W. CHICAGO STREET",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "49068",
            "telephone_number": "517-279-8866",
            "fax_number": "517-279-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "SAMANTHA",
        "middle_name": "LORINE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301015601",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008438",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801084214",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.014758",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyron Wentworth, R.N.
• Gary F Werkman, D.D.S.
• Ashley West
• Howard S Wharton, MD
• Baron Victor Whateley, DDS, MS
• Charles Frederic Whitaker IV, M.D.
• Kathie E White, DC
• Teresa Ann Whitlock, LMT
• Robbin Sue Wilber, BBA
• Kellie Williams

• Psychologist in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.