SAMANTHA C KURKJIAN CP
NPI 1104557677
Psychologist - Clinical in Woodstock, IL

Active since June 23, 2022
111 DEAN ST, WOODSTOCK, IL 60098(847) 802-4058(815) 344-5072 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha C Kurkjian Cp NPPES

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

SAMANTHA C KURKJIAN CP (NPI 1104557677) is an individual clinical provider in Woodstock, Illinois, licensed in Illinois (071.010110) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1104557677
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSAMANTHA C KURKJIANCredential: CP
Location Address111 DEAN STWoodstock, IL 60098-3220
Mailing Address176 Willey StGilberts, IL 60136-8000 · (630) 251-3690
Fax(815) 344-5072
Sole ProprietorNo
Enumeration DateJune 23, 2022
NPPES CertifiedJune 23, 2022
NPI 1104557677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in IL · 071.010110
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
111 DEAN ST, Woodstock, IL 60098

Other Providers at the Same Location NPPES 9

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

Counselor (Mental Health)
111 DEAN ST
WOODSTOCK, IL 60098
Counselor (Professional)
111 DEAN ST
WOODSTOCK, IL 60098
Counselor (Professional)
111 DEAN ST
WOODSTOCK, IL 60098
Psychologist (Clinical)
111 DEAN ST
WOODSTOCK, IL 60098
Student in an Organized Health Care Education/Training Program
111 DEAN ST
WOODSTOCK, IL 60098
Psychologist (Prescribing (Medical))
111 DEAN ST
WOODSTOCK, IL 60098
Psychologist
111 DEAN ST
WOODSTOCK, IL 60098
Counselor (Professional)
111 DEAN ST
WOODSTOCK, IL 60098

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 Kurkjian's NPI number?

The NPI number for Samantha Kurkjian is 1104557677. It was assigned to this individual provider in the NPPES registry on June 23, 2022.

Where is Samantha Kurkjian located?

Samantha Kurkjian practices at 111 Dean St, Woodstock, IL 60098. The listed phone number is (847) 802-4058.

What is Samantha Kurkjian's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Samantha Kurkjian was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.