Active NPIIndividual providerSole proprietor

Samantha Spencer, PSYD

Psychologist, Clinical in East Orange, New Jersey

NPI Number1760930705
Practice location
60 Evergreen Pl Fl 10, East Orange, NJ 07018-2107
Fax
—
Last updated
February 28, 2025

Samantha Spencer is a Psychologist, Clinical based in East Orange, NJ. Samantha Spencer practices in East Orange, NJ and has the professional credentials of PSYD. The NPI Number for Samantha Spencer is 1760930705 and holds a License No. 35SI00677500 (NJ). The current practice location address for Samantha Spencer is 60 Evergreen Pl Fl 10, East Orange, NJ 07018-2107 and can be reached out via phone at 551-349-4025.

Provider Profile Details

NPI Number
1760930705
Provider Name
Samantha Spencer
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
60 Evergreen Pl Fl 10, East Orange, NJ 07018-2107
Phone Number
551-349-4025
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 20, 2016
Last Update Date
February 28, 2025
Certification Date
February 28, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 Evergreen Pl Fl 10
East Orange, NJ 07018-2107
Zip
07018-2107
Phone Number
551-349-4025
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
223 Jackson Ave
Rockaway, NJ 07866-1017
City
Rockaway
State
NJ
Zip
07866-1017
Phone Number
856-397-4291

License Information

License Number
35SI00677500
License State
NJ
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samantha Spencer, PSYD?

The NPI number of Samantha Spencer, PSYD is 1760930705. It was assigned on September 20, 2016 and is currently active in the NPPES registry.

What is the specialty of Samantha Spencer, PSYD?

Samantha Spencer, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in NJ under license number 35SI00677500.

Where does Samantha Spencer, PSYD practice?

The practice location is 60 Evergreen Pl Fl 10, East Orange, NJ 07018-2107. The office can be reached at 551-349-4025 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760930705 directly on the NPPES registry website.

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