SAMANTHA A. KIRK PH.D.
NPI 1003869876
Psychologist in Cranston, RI

Active since May 19, 2006Opted out of Medicare · through Jan 26, 2028
84 BARTLETT AVE, CRANSTON, RI 02905(401) 243-7044(401) 842-0360 Get Directions Write a Review

NPPES record last updated: May 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha A. Kirk Ph.d. NPPES

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

SAMANTHA A. KIRK PH.D. (NPI 1003869876) is an individual psychologist in Cranston, Rhode Island, licensed in Rhode Island (PS00884) and active in the NPI registry since May 2006. She has opted out of Medicare through January 26, 2028.

NPPES Registry Identity

NPI1003869876
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSAMANTHA A. KIRKCredential: PH.D.
Location Address84 BARTLETT AVECranston, RI 02905-1336
Mailing Address84 Bartlett AveCranston, RI 02905-1336 · (401) 243-7044 · Fax (401) 842-0360
Fax(401) 842-0360
Sole ProprietorYes
Enumeration DateMay 19, 2006
Last NPPES UpdateMay 8, 2013
NPI 1003869876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in RI · PS00884
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
84 BARTLETT AVE, Cranston, RI 02905

Other Identifiers 1

MedicaidSK56341RI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Samantha A. Kirk Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 26, 2022 through January 26, 2028.

Opt-Out Effective DateJanuary 26, 2022
Opt-Out In Effect ThroughJanuary 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Kirk's NPI number?

The NPI number for Samantha Kirk is 1003869876. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Samantha Kirk located?

Samantha Kirk practices at 84 Bartlett Ave, Cranston, RI 02905. The listed phone number is (401) 243-7044.

What is Samantha Kirk's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Samantha Kirk enrolled in Medicare?

No. Samantha Kirk has opted out of Medicare through January 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Samantha Kirk accept?

Health plans from Harvard Pilgrim Health Care list Samantha Kirk as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Kirk was last updated on May 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.