Individual provider Active NPI

Samantha Marie Winton, PH.D.

  • Psychologist
  • St Petersburg, FL
National Provider Identifier
1710322375
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY9464 Issued in FL
Practice address
2620 5TH Ave N
St Petersburg, FL 33713-6904
Phone
(727) 490-8811
Fax
(727) 290-4920
NPI assigned
May 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY9464 FL Primary

Addresses

Primary practice location

2620 5TH Ave N
St Petersburg, FL 33713-6904

Mailing address

2620 5TH Ave N
St Petersburg, FL 33713-6904
Phone (727) 490-8811

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

LicenseStateTypeSpecialty
PY9464FLMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Samantha Winton, LLC Past Accepting new patients

Organizations & group practices 1

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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1710322375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136904",
            "telephone_number": "727-490-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136904",
            "telephone_number": "727-490-8811",
            "fax_number": "727-290-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTON",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.