Individual provider Active NPI

Samantha Lynn Birk, PHD

  • Psychologist
  • Binghamton, NY
National Provider Identifier
1780477174
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
026902 Issued in NY
Practice address
4400 Vestal Parkway East Binghamton University
Institute for Child Development
Binghamton, NY 13902
Phone
(607) 777-2829
NPI assigned
May 28, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 026902 NY Primary

Addresses

Primary practice location

4400 Vestal Parkway East Binghamton University
Institute for Child Development
Binghamton, NY 13902

Mailing address

PO Box 6000
Institute for Child Development
Binghamton, NY 13902
Phone (607) 777-2829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
026902NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Research Foundation for Suny at Binghamton PastSince Jun 3, 2025 Accepting new patients
Children'S Unit for Treatment and Evaluation PastSince Jun 3, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1780477174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6000",
            "address_2": "INSTITUTE FOR CHILD DEVELOPMENT",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13902",
            "telephone_number": "607-777-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 VESTAL PARKWAY EAST BINGHAMTON UNIVERSITY",
            "address_2": "INSTITUTE FOR CHILD DEVELOPMENT",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13902",
            "telephone_number": "607-777-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRK",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "026902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

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