Samantha Rose Eastberg, PHD
NPI 1023518651ActiveIndividual· Psychologist· Marshfield, WI
Psychologist (PHD) in Marshfield, Wisconsin, licensed in WI and NE, with an NPI issued in February 2018. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1023518651 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Feb 20, 2018 |
| Last updated in NPPES | Oct 26, 2023 |
| Certified by provider | Oct 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 4016 | WI |
| Counselor, Mental Health | 101YM0800X | 11672 | NE |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (WI) |
|---|
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