Jill a Samo PHD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JILL A SAMO PHD LLC

Practice address

2109 Pennington Rd
Ewing, NJ 08638-1415

Phone

(609) 538-0111

Fax

(609) 538-8218

NPI assigned

Mar 3, 2007

Organization subpart

No

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

Authorized official

Name

Jill Samo, PHD

Title

Manager

Phone

(609) 538-0111

Specialties & licenses 1

Addresses

Practitioners 2

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

• Camille Marie Ettenger, LPC

  • Professional Counselor
  • Trenton, NJ
  • NPI 1275684086
  NPD (past)
• Judith L Weinberg, LCSW

  • Clinical Social Worker
  • Ewing, NJ
  • NPI 1578612826
  NPD (past)

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1962531343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 PENNINGTON RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086381415",
            "telephone_number": "609-538-0111",
            "fax_number": "609-538-8218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 PENNINGTON RD",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086381415",
            "telephone_number": "609-538-0111",
            "fax_number": "609-538-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL A SAMO PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "SAMO",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "609-538-0111",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seema R Jamal, RPH
• Benita Denice James, APN, PMHNP-BC
• Daniel K Jass, MD
• Faniola Jean
• JH Therapy Services PC
• Shruthi E John, MS, RD
• Felicia Johnson
• Marsal Johnson, LPN
• Aniia-Nai Jones
• Gavin Jones, LSW

• All providers in Ewing, NJ
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.