Active NPI
Samantha Lynn Meyer, B.A.
- Clinical Psychologist
- Newport Beach, CA
National Provider Identifier
1790132264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY33340
- Practice address
- 20051 SW Birch St
Newport Beach, CA 92660-1708 - Phone
- (800) 526-1851
- NPI assigned
- May 15, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | PSY33340 | CA | Primary |
Addresses
Primary practice location
20051 SW Birch St
Newport Beach, CA 92660-1708
Mailing address
20051 SW Birch St
Newport Beach, CA 92660-1708
Phone (800) 526-1851
Other practice location 1
982 Mission St
UCSF Citywide Case Management/Community Focus
San Francisco, CA 94103-2911
Phone (415) 597-8000
Other practice location 2
1270 Natividad Rd
Salinas, CA 93906
Phone (831) 796-1500
Other practice location 3
202 Glacier Drive
Contra Costa Probation and Mental Health Services- JACS
Martinez, CA 94553
Phone (925) 957-2739
Other practice location 4
1600 California Dr
Vacaville, CA 95696
Phone (818) 235-2925
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY33340 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1790132264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20051 SW BIRCH ST",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926601708",
"telephone_number": "800-526-1851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20051 SW BIRCH ST",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926601708",
"telephone_number": "800-526-1851"
}
],
"practiceLocations": [
{
"address_1": "982 Mission St",
"address_2": "UCSF Citywide Case Management/Community Focus",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941032911",
"country_code": "US",
"telephone_number": "415-597-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1270 Natividad Rd",
"address_purpose": "LOCATION",
"city": "Salinas",
"state": "CA",
"postal_code": "93906",
"country_code": "US",
"telephone_number": "831-796-1500",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "202 Glacier Drive",
"address_2": "Contra Costa Probation and Mental Health Services- JACS",
"address_purpose": "LOCATION",
"city": "Martinez",
"state": "CA",
"postal_code": "94553",
"country_code": "US",
"telephone_number": "925-957-2739",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 California Dr",
"address_purpose": "LOCATION",
"city": "Vacaville",
"state": "CA",
"postal_code": "95696",
"country_code": "US",
"telephone_number": "818-235-2925",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEYER",
"first_name": "SAMANTHA",
"middle_name": "LYNN",
"credential": "B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-15",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY33340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.