Samantha Jo Perry, CAS, NCSP

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

2860791 Issued in NY

Practice address

70 Kukuk LN
Kingston, NY 12401-6943

Phone

(845) 336-2616

NPI assigned

Nov 22, 2024

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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.

• Center for Spectrum Services

  • Developmentally Disabled Services Day Training Agency
  • Kingston, NY
  • NPI 1922251313
  NPD (past)

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1992520050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 KUKUK LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016943",
            "telephone_number": "845-336-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 KUKUK LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016943",
            "telephone_number": "845-336-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "CAS, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "2860791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Michael Perreca, DDS
• Brianne Nicole Perry
• Lorri Ann Perry, AUD
• Paris Perry, DDS
• Ryne Perry
• Jennifer Persad-Sikula, OT
• Michael Vincent Persico, M.S
• Jennifer Marie Peterson, LMSW
• Erica Dawn Petosa, MSW
• Jessica Li Phillips, LMSW

• School Psychologist in Kingston, NY
• Providers in Kingston, 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 Nov 22, 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.

Verify at the official NPI Registry.