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

Q: What is Samantha Wyckoff's NPI number?

The NPI number for Samantha Wyckoff is 1003312810. It was assigned to this individual provider in the NPPES registry on April 2, 2018. The provider is also known as Samantha Megan Labib MD.

Q: What is Samantha Wyckoff's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Wyckoff was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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

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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.

PHILADELPHIA HEALTH MANAGEMENT CORP

Clinic/Center (Adult Mental Health)

111 N 49TH ST, 2ND FLOOR
PHILADELPHIA, PA 19139

Philadelphia County (215) 662-8881

CHARLES WALKER

Licensed Practical Nurse