Active NPI
Mark G Sampson PHD LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Columbus, OH
National Provider Identifier
1760171300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MARK G SAMPSON PHD LLC
- Practice address
- 4041 N High St Ste 300I
Columbus, OH 43214-3200 - Phone
- (614) 683-5119
- NPI assigned
- May 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark G Sampson, PHD
- Title
- Psychologist
- Phone
- (734) 255-8062
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
4041 N High St Ste 300I
Columbus, OH 43214-3200
Mailing address
2786 E Moreland Dr
Columbus, OH 43209-3066
Phone (734) 255-8062
National Provider Directory
National Provider DirectoryLocations
4041 N High St
Ste 300I
Columbus, OH 43214
Phone (614) 683-5119
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Counseling Psychologist
- Columbus, OH
- NPI 1427190503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682899200000",
"number": "1760171300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2786 E MORELAND DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432093066",
"telephone_number": "734-255-8062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4041 N HIGH ST STE 300I",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143200",
"telephone_number": "614-683-5119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK G SAMPSON PHD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A",
"authorized_official_last_name": "SAMPSON",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PSYCHOLOGIST",
"authorized_official_telephone_number": "734-255-8062",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.