Active NPI
Samantha Lynn Birk, PHD
- Psychologist
- Binghamton, NY
National Provider Identifier
1780477174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 026902
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 026902 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Research Foundation for Suny at Binghamton | Past | Accepting new patients | |
| Children'S Unit for Treatment and Evaluation | Past | 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.
-
- Early Intervention Provider Agency
- Binghamton, NY
- NPI 1053565184
-
- Early Intervention Provider Agency
- Vestal, NY
- NPI 1285070516
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.