Samantha Black, PSY.D.
NPI 1811568025ActiveIndividual· Psychologist· Columbus, OH
Psychologist (PSY.D.) with Mid-Ohio Psychological Services, Inc, practicing in Columbus, Ohio. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1811568025 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | No |
| NPI issued | Jul 8, 2021 |
| Last updated in NPPES | Sep 9, 2024 |
| Certified by provider | Sep 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 08687 | OH |
| Counselor | 101Y00000X | — | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 (OH) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Mid-Ohio Psychological Services, IncLancaster, OH · 12 clinicians
Other psychologists in Columbus
- 1003052812
- 1003930702
- 1023049988
- 1033768148
- 1053648857
- 1053741074
- 1063346542
- 1104509835
- 1124331699
- 1124670401
- 1154432979
- 1164976460
All 249 psychologists in Columbus · All psychologists in Ohio