DR. SAMANTHA LYN BOUTIS PSY.D
NPI 1033353750
Psychologist - School in Yaphank, NY

Active since April 24, 2009
430 SILLS RD, YAPHANK, NY 11980(631) 924-5583 Get Directions Write a Review

NPPES record last updated: September 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samantha Lyn Boutis Psy.d NPPES

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

DR. SAMANTHA LYN BOUTIS PSY.D (NPI 1033353750) is an individual school provider in Yaphank, New York, licensed in New York (297457) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1033353750
Entity TypeIndividualFemale
Primary Taxonomy103TS0200X
Provider Legal NameDR. SAMANTHA LYN BOUTISCredential: PSY.D
Location Address430 SILLS RDYaphank, NY 11980
Mailing Address430 Sills RdYaphank, NY 11980 · (631) 924-5583
Sole ProprietorYes
Enumeration DateApril 24, 2009
Last NPPES UpdateSeptember 8, 2010
NPI 1033353750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License Licensed in NY · 297457
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
430 SILLS RD, Yaphank, NY 11980

Other Names 1

Former Name (1)Samantha Lyn Herman

Other Providers at the Same Location NPPES 8

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

Early Intervention Provider Agency
430 SILLS RD
YAPHANK, NY 11980
Speech-Language Pathologist
430 SILLS RD
YAPHANK, NY 11980
Specialist
430 SILLS RD
YAPHANK, NY 11980
Occupational Therapist (Pediatrics)
430 SILLS RD
YAPHANK, NY 11980
Occupational Therapist
430 SILLS RD
YAPHANK, NY 11980
Physical Therapy Assistant
430 SILLS RD
YAPHANK, NY 11980
Speech-Language Pathologist
430 SILLS RD
YAPHANK, NY 11980
Physical Therapy Assistant
430 SILLS RD
YAPHANK, NY 11980

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 Boutis's NPI number?

The NPI number for Samantha Boutis is 1033353750. It was assigned to this individual provider in the NPPES registry on April 24, 2009. The provider is also known as Samantha Lyn Herman.

Where is Samantha Boutis located?

Samantha Boutis practices at 430 Sills Rd, Yaphank, NY 11980. The listed phone number is (631) 924-5583.

What is Samantha Boutis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

When was this NPI record last updated?

The NPPES record for Samantha Boutis was last updated on September 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.