Samantha Stanford, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

026710 Issued in NY

Practice address

200 E River Rd
Rochester, NY 14623-1212

Phone

(585) 279-7800

NPI assigned

Mar 21, 2023

Last updated

Aug 19, 2025By the provider in NPPES

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Stanford Psychological Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Snyder, NY
  • NPI 1881571115
  NPD (past) Authorized official
• University of Rochester

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1710226824
  NPD

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1780386920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E RIVER RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231212",
            "telephone_number": "585-279-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E RIVER RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146231212",
            "telephone_number": "585-279-7800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4498 Main St Ste 16",
            "address_purpose": "LOCATION",
            "city": "Snyder",
            "state": "NY",
            "postal_code": "142263826",
            "country_code": "US",
            "telephone_number": "716-201-0203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANFORD",
        "first_name": "SAMANTHA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-21",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "026710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicolette Standera, DPT
• Gregory Standish, RN
• Richard Carter Standish, RPH
• Christine A Stanford
• Kathryn Marie Stanford, LMHC
• Bryan J Stanistreet, MD
• Jakub Staniszewski, M.D.
• Joseph Alfonsas Stankaitis, M.D., M.P.H.
• Keith Everett Stanley
• Keri Stanley

• Clinical Psychologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.