Individual provider Active NPI

Samantha Gaies Stoitsov, PHD

  • Psychologist
  • New York, NY
National Provider Identifier
1689188542
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
022623 Issued in NY
Practice address
177 Prince St Apt 401B
New York, NY 10012-2935
Phone
(347) 762-9723
NPI assigned
Nov 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 022623 NY Primary
Psychologist 103T00000X PSY004133 GA

Addresses

Primary practice location

177 Prince St Apt 401B
New York, NY 10012-2935

Mailing address

954 Lexington Ave Ste 168
New York, NY 10021-5055
Phone (347) 762-9723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 3, 2018 through Apr 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY004133GAMDPsychologist
022623NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
S. Gaies Stoitsov Psychology PC Psychologist Current Accepting new patients
Ny Health Hypnosis Inc Past Accepting new patients

Locations

177 Prince St
Apt 401B
New York, NY 10012
Phone (347) 762-9723

954 Lexington Ave
New York, NY 10021
Phone (212) 879-1705

177 Prince St
Apt 501
New York, NY 10012
Phone (646) 537-1713

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": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1689188542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "954 LEXINGTON AVE STE 168",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215055",
            "telephone_number": "347-762-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 PRINCE ST APT 401B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100122935",
            "telephone_number": "347-762-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAIES STOITSOV",
        "first_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "022623",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY004133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.