DR. SAMANTHA MEGAN WYCKOFF MD NPI 1003312810

NPI Information

NPI: 1003312810
Provider Name: DR. SAMANTHA MEGAN WYCKOFF, MD
Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
111 N 49TH ST
PHILADELPHIA, PA
ZIP 19139
Phone: (215) 471-2600
Get Directions

DR. Samantha Megan Wyckoff, MD is an addiction medicine psychiatry neurology in Philadelphia, PA. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine DR. Samantha Megan Wyckoff, MD NPI is 1003312810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 N 49TH ST
PHILADELPHIA, PA
ZIP 19139-718
Phone: (215) 471-2600

The NPI 1003312810 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/2/2018 and was last updated on 6/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084A0401X	Psychiatry & Neurology	Addiction Medicine	306481-01	NEW YORK	No
2	390200000X	Student in an Organized Health Care Education/Training Program				No
3	2084A0401X	Psychiatry & Neurology	Addiction Medicine	MD480318	PENNSYLVANIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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