Michael R Samko in Solana Beach - Psychologist
Michael R Samko - NPI 1396904165
Michael R Samko is a Psychologist in Solana Beach, California. Michael R Samko practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Michael R Samko is 1396904165. The last update date is 2018-10-17.
Michael R Samko's current location address is 319 Glenmont Dr, Solana Beach, California. You can contact this provider via phone number 7607211111 and fax number 8584819791. The mailing address for Michael R Samko is 319 Glenmont Dr, Solana Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael R Samko |
|---|---|
| Address | 319 Glenmont Dr, Solana Beach, California |
| Phone Number | 7607211111 |
| Fax Number | 8584819791 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1396904165 |
|---|---|
| Provider Enumeration Date | 2008-06-05 |
| Last Updated Date | 2018-10-17 |
Provider Mailing Address Detail
| Address | 319 Glenmont Dr |
|---|---|
| City | Solana Beach |
| State | California (CA) |
| Post Code | 920751308 |
| Phone Number | 7607211111 |
| Fax Number | 8584819791 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PSY5420 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200505235 | CA | TRICARE | |
| 00PL54200 | CA | BLUE SHIELD OF CALIFORNIA | |
| 200505235 | CA | BLUE CROSS OF CALIFORNIA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Michael R Samko by the Centers for Medicare & Medicaid Services?
The Michael R Samko has been assigned the NPI (National Provider Identifier) 1396904165 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Michael R Samko's facilities are situated?
The facilities of Michael R Samko are physically located at the following address: 319 Glenmont Dr, Solana Beach, CA, 920751308.
What is Michael R Samko's specialized field of practice, and what is the corresponding taxonomy classification code?
The Michael R Samko's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Michael R Samko receive the assignment of its 1396904165 from the Centers for Medicare & Medicaid Services?
The Michael R Samko was issued its 1396904165 by the Centers for Medicare & Medicaid Services on 2008-06-05.
As of what date were the details pertaining to Michael R Samko last refreshed?
The information related to the Michael R Samko, including its address, specialty, and other relevant details, was last updated on 2018-10-17.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY