Samuel B Korobkin, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

03986 Issued in MD

Practice address

90 Painters Mill Rd
Suite 214
Owings Mills, MD 21117-3630

Phone

(443) 929-0779

Fax

(410) 356-3376

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Medop Behavioral Health Associates of Maryland PC

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1447203963
  NPD (past)

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1851345359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PAINTERS MILL RD",
            "address_2": "SUITE 214",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173630",
            "telephone_number": "443-929-0779",
            "fax_number": "410-356-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PAINTERS MILL RD",
            "address_2": "SUITE 214",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173630",
            "telephone_number": "443-929-0779",
            "fax_number": "410-356-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROBKIN",
        "first_name": "SAMUEL",
        "middle_name": "B",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "03986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kendra Kontchou
• Dane Michael Kopas, PT, DPT
• Sonal Navin Korgaonkar, M.D.
• Peres Susanna Korie, FNP
• Ira Kornbluth, M.D.
• Emily Renee Korte, RD
• Esther Koshkarman
• Lawrence Joe Kotey, PHARM.D
• Koval Dentistry Services, P.C.
• Victor Koval, D.D.S.

• Psychologist in Owings Mills, MD
• Providers in Owings Mills, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.