Samantha Pieknik, PSYD is a
Psychologist - Clinical Child & Adolescent based in Phoenix, Arizona. Samantha Pieknik is licensed to practice in Arizona (license number 4913) and her current practice location is
7330 N 16th St Ste C-200, Phoenix, Arizona. She can be reached at her office (for appointments etc.) via phone at
(480) 269-5803.
NPI number for Samantha Pieknik is 1366822652 and her current mailing address is 7330 N 16th St Ste C-200, Phoenix, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366822652.
Healthcare Provider's Profile
| Full Name | Samantha Pieknik |
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| Gender | Female |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 7330 N 16th St Ste C-200, Phoenix, Arizona |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366822652
- Provider Enumeration Date: 06/02/2015
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Samantha Pieknik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366822652 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 4913 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Pieknik is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Samantha Pieknik, PSYD 7330 N 16th St Ste C-200, Phoenix, AZ 85020-5237 Ph: (480) 269-5803 | Samantha Pieknik, PSYD 7330 N 16th St Ste C-200, Phoenix, AZ 85020-5237 Ph: (480) 269-5803 |
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