Samantha Fortino

Primary specialty

School PsychologistTaxonomy code 103TS0200X

Practice address

20 Riverleigh Ave
Riverhead, NY 11901-3674

Phone

(631) 382-7311

NPI assigned

Jul 11, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1750015343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PIEDMONT CT",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204377",
            "telephone_number": "631-457-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RIVERLEIGH AVE",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119013674",
            "telephone_number": "631-382-7311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTINO",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Arlene Fitch, AU.D.
• Five Boroughs Medical Associates, P.C.
• Margaret Ann Flood, SLP
• Antonio Flores, MD
• Jean M Formisano, RPH
• Marlene Forzano, M.A., CCC-A
• Ericka Fowlkes Wilkins, RPH
• Lisa Fox, LMSW
• Summer Fox, PHYSICIAN ASSISTANT
• Michael Arthur Frangeskos, PA-C

• School Psychologist in Riverhead, NY
• Providers in Riverhead, NY by specialty
• School Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.