Individual provider Active NPI

Samantha Lynn Meyer, B.A.

  • Clinical Psychologist
  • Newport Beach, CA
National Provider Identifier
1790132264
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY33340 Issued in CA
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

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PSY33340CAMDClinical 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.

Verify at the official NPI Registry.