Meshack Samia, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP144811 Issued in TX

Practice address

1683 E Dogwood LN
Gilbert, AZ 85295-6041

Phone

(480) 720-3496

NPI assigned

Feb 5, 2020

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: meshack.samia.1@24259.direct.athenahealth.com

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.

• Samia Psychiatry Iop PLLC

  • Community/Behavioral Health Agency
  • Gilbert, AZ
  • NPI 1265151807
  NPD Authorized official
• New Creations Psychiatry PLLC

  • Psychiatry Physician
  • Gilbert, AZ
  • NPI 1528658267
  NPD (past)

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1760014047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1683 E DOGWOOD LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956041",
            "telephone_number": "480-720-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 E DOGWOOD LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852956041",
            "telephone_number": "480-720-3496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2345 Old Pecos Trl",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761311646",
            "country_code": "US",
            "telephone_number": "806-831-7159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMIA",
        "first_name": "MESHACK",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-05",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sam'S Club Optical
• Yazan Samhouri, MD
• Sami'S Angels ABA Services
• Samia Psychiatry Iop PLLC
• Samia Psychiatry PLLC
• Marissa Astrid Sampogna
• Karen G Sampson, NURSE
• Sams West Inc
• Sams West Inc
• Michael Andrew Samuels, MD

• Psychiatric/Mental Health Nurse Practitioner in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.