Samantha Fradkin, PHD
NPI 1689507485ActiveIndividual· Psychologist, Clinical· Glen Oaks, NY
Psychologist, Clinical (PHD) in Glen Oaks, New York, licensed in NY, with an NPI issued in June 2026. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1689507485 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Jun 3, 2026 |
| Last updated in NPPES | Jun 3, 2026 |
| Certified by provider | Jun 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 027984 | NY |
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 (NY) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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All 39 clinical psychologists in Glen Oaks · All clinical psychologists in New York