Samantha Spencer, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00677500 Issued in NJ

Practice address

60 Evergreen PL FL 10
East Orange, NJ 07018-2107

Phone

(551) 349-4025

NPI assigned

Sep 20, 2016

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1760930705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 JACKSON AVE",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078661017",
            "telephone_number": "856-397-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EVERGREEN PL FL 10",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182107",
            "telephone_number": "551-349-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "SAMANTHA",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-20",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00677500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daccu Bamidele Sonubiishaq
• Olivia Sorial, MD
• Maritza Soto, SOCIAL WORKER
• Sound Physicians of New Jersey LLC
• Beverlee Ann Spencer
• Kate Melanie Spielholz, MD
• Spine and Rehabilitation Center of the Oranges
• Spine Central
• Sam Ross Spinelli, PH.D.
• John Lee Spitzer, M.D., PH.D.

• Clinical Psychologist in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.