Samantha Spata, SCHOOL PSYCHOLOGIST

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

2620464 Issued in NY

Practice address

90 Air Park Dr
Ronkonkoma, NY 11779-7360

Phone

(631) 580-4000

NPI assigned

Jun 13, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1841783933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PENN CMNS",
            "city": "YAPHANK",
            "state": "NY",
            "postal_code": "119802026",
            "telephone_number": "631-455-2646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 AIR PARK DR",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797360",
            "telephone_number": "631-580-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATA",
        "first_name": "SAMANTHA",
        "credential": "SCHOOL PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "2620464",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "2620416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karolina Socha, LMT
• Christina Soler
• Gant Gilbert Soohoo, OPTICAN
• South Shore Home Health Service, Inc.
• South Shore Home Health Service, Inc. (Addus HomeCare)
• Christy Spelman, P.T.
• Kathleen J. Spencer, RN
• Jeanne R Squires, LCSW,BCD
• St.Charles Rehabilitation
• Nicholas John Staffa, RPH

• School Psychologist in Ronkonkoma, NY
• Providers in Ronkonkoma, NY by specialty
• School Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.