Active NPI
Samantha Jo Oscar, PH.D.
- Counseling Psychologist
- Green Bay, WI
National Provider Identifier
1982193546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3145-57
- Practice address
- 107 S Madison St
Green Bay, WI 54301-4501 - Phone
- (408) 813-0977
- NPI assigned
- May 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3145-57 | WI | Primary |
Addresses
Primary practice location
107 S Madison St
Green Bay, WI 54301-4501
Mailing address
302 N Van Buren St
Green Bay, WI 54301-4829
Phone (408) 813-0977
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3145-57 | WI | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733702400000",
"number": "1982193546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 N VAN BUREN ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543014829",
"telephone_number": "408-813-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 S MADISON ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543014501",
"telephone_number": "408-813-0977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSCAR",
"first_name": "SAMANTHA",
"middle_name": "JO",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-08",
"last_updated": "2024-12-09",
"certification_date": "2024-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WI",
"license": "3145-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.