SAMANTHA KOHN (NPI# 1104277672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104277672 |
| Entity Type | Individual |
| Full Name | SAMANTHA KOHN |
| Practice Address |
9616 Portage Rd Portage MI 49002-7257 |
| Practice Telephone | 2692508200 |
| Mailing Telephone | 2692508200 |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2016-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013018589 | Samantha Wesley Kohn | Psychologist | 790 Route 211 E, Middletown, NY 10941-1448 | 2006-09-26 |
| 1437779782 | Samantha Kohn | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2020-04-16 |
| Street Address |
9616 PORTAGE RD |
| City | PORTAGE |
| State | MI |
| Zip Code | 49002-7257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205069804 | Kari Carrington | Behavioral Analyst | 9616 Portage Rd, Portage, MI 49002-7257 | 2009-08-29 |
| 1902442783 | Sharon Roebuck Sabel | Registered Nurse | 9616 Portage Rd, Portage, MI 49002-7257 | 2019-11-27 |
| 1992366793 | Rebecca Joy Barlow | Registered Nurse | 9616 Portage Rd, Portage, MI 49002-7257 | 2019-06-24 |
| 1467925735 | Kerri Rochelle Wood | Behavioral Analyst | 9616 Portage Rd, Portage, MI 49002-7257 | 2019-01-09 |
| 1205343837 | Joseph William Hayes | Behavioral Analyst | 9616 Portage Rd, Portage, MI 49002-7257 | 2018-01-04 |
| 1538674676 | Residential Opportunities, Inc. | Clinic/Center | 9616 Portage Rd, Portage, MI 49002-7257 | 2017-12-12 |
| 1619401049 | Jennifer Trobaugh | Behavioral Analyst | 9616 Portage Rd, Portage, MI 49002-7257 | 2017-04-12 |
| 1760928493 | Tina Fuster | Behavior Technician | 9616 Portage Rd, Portage, MI 49002-7257 | 2017-01-19 |
| 1023555752 | Jenna Hicken | Behavior Technician | 9616 Portage Rd, Portage, MI 49002-7257 | 2017-01-19 |
| 1063956605 | Erin Callahan | Behavior Technician | 9616 Portage Rd, Portage, MI 49002-7257 | 2016-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1619211919 | Daketia L Thomas | Massage Therapist | 8314 Portage Rd, Suite D, Kalamazoo, MI 49002 | 2012-11-27 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| Find all providers in zip 49002 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679010342 | Kathryn Dittmer | Specialist | 3411 Airport Rd, Portage, IN 46368-5107 | 2017-01-19 |
| 1154875854 | Toni Latham | Specialist | 3215 Stonebridge Ct, Apt. 9, Portage, MI 49024-8000 | 2016-08-10 |
| 1194999896 | Lakeshore Bone & Joint Institute, PC | Specialist | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2008-04-15 |
| 1093924615 | Christine Jubina | Specialist | 394 Golf Course Rd, Portage, PA 15946-6018 | 2007-05-21 |
| 1245452481 | Plastic Surgery of Kalamazoo,pc | Specialist | 7901 South 12th Street, Suite 100, Portage, MI 49024 | 2007-05-03 |
| 1891914867 | Hickner Eye Center, P.C. | Specialist | 1906 W Milham Ave, Portage, MI 49024 | 2007-04-25 |
| 1740308964 | David R Areaux | Specialist | West Michigan Ear, Nose & Throat, 3850 Glenkerry Court, Portage, MI 49024 | 2007-03-26 |
| 1063440311 | Larry R Walton | Specialist | 1220 West Milham Ave, Portage, MI 49024-1206 | 2006-06-28 |
| 1164873618 | Hannah Patricia Christensen | Specialist | 9616 Portage Rd, Portage, MI 49002-7257 | 2016-06-27 |
| 1558712935 | Ayanna Frazier | Specialist | 9616 Portage Rd, Portage, MI 49002-7257 | 2016-06-27 |
| Find all providers in PORTAGE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.