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DR. SAMANTHA MEGAN WYCKOFF MD
NPI 1003312810
Psychiatry & Neurology - Addiction Medicine in Philadelphia, PA

Active since April 02, 2018
111 N 49TH ST, PHILADELPHIA, PA 19139(215) 471-2600 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 12, 2023, Aug 5, 2022 (2 updates tracked since 2022).

About Dr. Samantha Megan Wyckoff Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA MEGAN WYCKOFF MD (NPI 1003312810) is an individual addiction medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD480318) and active in the NPI registry since April 2018.

NPPES Registry Identity

NPI1003312810
Entity TypeIndividualFemale
Primary Taxonomy2084A0401X
Provider Legal NameDR. SAMANTHA MEGAN WYCKOFFCredential: MD
Location Address111 N 49TH STPhiladelphia, PA 19139-2718
Mailing Address525 E 68th StNew York, NY 10065-4870 · (718) 920-3185 · Fax (718) 882-3185
Phone(215) 471-2600
Sole ProprietorYes
Enumeration DateApril 2, 2018
Last NPPES UpdateJune 12, 20232 updates tracked since enumeration
NPPES CertifiedJune 12, 2023
✔ NPI 1003312810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
Licenses✔ Licensed in PA · MD480318✔ Licensed in NY · 306481-01
Definition

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

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
111 N 49TH ST, Philadelphia, PA 19139
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Other Names 1

Former Name (1)Samantha Megan Labib Md

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESTMEADE CENTER
Residential Treatment Facility, Emotionally Disturbed Children
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2687
PHILADELPHIA HEALTH MANAGEMENT CORP
Clinic/Center (Adult Mental Health)
111 N 49TH ST, 2ND FLOOR
PHILADELPHIA, PA 19139
Philadelphia County (215) 662-8881
CHALA SARGENT MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
111 N 49TH ST, FHC FIRST FLOOR
PHILADELPHIA, PA 19139
Philadelphia County (215) 472-7291
MR. SCOTT WEISENBERGER LPC
Counselor (Professional)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2314
DR. KAMBEZE BANAN ETEMAD M.D.
Psychiatry & Neurology (Psychiatry)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2140
FRED BAURER M.D.
Psychiatry & Neurology (Addiction Psychiatry)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2807
FIRST HOME CARE CORPORATION
Counselor (Professional)
111 N 49TH ST, 1ST FLOOR
PHILADELPHIA, PA 19139
Philadelphia County (215) 472-7291
STEPHEN KARAFELLI
Social Worker (Clinical)
111 N 49TH ST
PHILADELPHIA, PA 19139
Philadelphia County (215) 471-2132

Frequently Asked Questions

What is Samantha Wyckoff's NPI number?

The NPI number assigned to this healthcare provider is 1003312810, enumerated as an "individual" on April 02, 2018.

Where is the provider located?

The provider is located at 111 N 49TH ST PHILADELPHIA, PA 19139 and the phone number is (215) 471-2600.

What is the provider's specialty?

Psychiatry & Neurology with taxonomy code 2084A0401X and a focus in Addiction Medicine.