Samantha T. Bender, PH.D., LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

03615 Issued in MD

Legal business name

SAMANTHA T. BENDER, PH.D., LLC

Practice address

4915 Auburn Ave
Suite 110
Bethesda, MD 20814-2636

Phone

(301) 718-2971

Fax

(301) 718-2972

NPI assigned

Nov 21, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Samantha T Bender, PH.D.

Title

Sole Proprietor

Phone

(301) 718-2971

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ingrid Zooi Conklin, LCSW-C

  • Clinical Social Worker
  • Bethesda, MD
  • NPI 1447323050
  NPD (past)

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1912152703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 AUBURN AVE",
            "address_2": "SUITE 110",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142636",
            "telephone_number": "301-718-2971",
            "fax_number": "301-718-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 AUBURN AVE",
            "address_2": "SUITE 110",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208142636",
            "telephone_number": "301-718-2971",
            "fax_number": "301-718-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA T. BENDER, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "301-718-2971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "03615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1770529109",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400939800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Salvador, LCSW-C
• Katharine Roberts Salyer, MD
• Anna Maria Sam, CRNP
• Shiney Sam
• Samantha Steinfeld Counseling
• Morgan Sammons
• Nadeth Jamie Samnang
• Michelly Kerly Sampaio de Melo, MD
• Nidhi Sampath, LCPC
• James Buchanan Sampson, M.D.

• Community/Behavioral Health Agency in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.