Individual provider Active NPI

Laura P Samson, PSY.D.

  • Clinical Psychologist
  • Akron, OH
National Provider Identifier
1730142985
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6004 Issued in OH
Practice address
701 White Pond Dr
Suite 300
Akron, OH 44320-1127
Phone
(330) 572-1011
Fax
(330) 572-1018
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6004 OH Primary

Addresses

Primary practice location

701 White Pond Dr
Suite 300
Akron, OH 44320-1127

Mailing address

701 White Pond Dr
Suite 300
Akron, OH 44320-1127
Phone (330) 572-1011

Other identifiers 1

IdentifierTypeStateIssuer
2473836MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200414002222 OH Practitioner - Clinical Psychologist 2668466681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Wright State University Boonshoft School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

161 N Forge St
Akron, OH 44304-1483

45 Arch St
Akron, OH 44304-1403

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

  • Summa Health System Hospital, Akron, OH, CCN 360020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Sep 19, 2022 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC Clinical CurrentSince Sep 19, 2022 Accepting new patients
Neurology and Neuroscience Associates Inc Past Accepting new patients
Neurology and Neuroscience Associates, Inc. Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

701 White Pond Dr
Ste 300
Akron, OH 44320
Phone (330) 572-1011

3724 Center Rd
Ste 103
Brunswick, OH 44212
Phone (330) 273-4443

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1730142985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 WHITE POND DR",
            "address_2": "SUITE 300",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201127",
            "telephone_number": "330-572-1011",
            "fax_number": "330-572-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 WHITE POND DR",
            "address_2": "SUITE 300",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201127",
            "telephone_number": "330-572-1011",
            "fax_number": "330-572-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "LAURA",
        "middle_name": "P",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2473836",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.