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MRS. SAMANTHA LEIGH CARDOZO M.S.
NPI 1114349578
Marriage & Family Therapist in Petaluma, CA

Active since January 19, 2014PECOS EnrolledAccepts Medicare Assignment
1179 N MCDOWELL BLVD, PETALUMA, CA 94954(707) 559-7500(707) 559-7620 Get Directions Write a Review

NPPES record last updated: December 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2019, Nov 15, 2019 (2 updates tracked since 2019).

About Mrs. Samantha Leigh Cardozo M.s. NPPES

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

MRS. SAMANTHA LEIGH CARDOZO M.S. (NPI 1114349578) is an individual marriage & family therapist in Petaluma, California and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Rosa, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1114349578
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. SAMANTHA LEIGH CARDOZOCredential: M.S.
Location Address1179 N MCDOWELL BLVDPetaluma, CA 94954-6559
Mailing Address1179 N Mcdowell BlvdPetaluma, CA 94954-6559 · (707) 559-7500 · Fax (707) 559-7620
Phone(707) 559-7500
Fax(707) 559-7620
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 19, 2014
Last NPPES UpdateDecember 6, 20192 updates tracked since enumeration
✔ NPI 1114349578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1179 N MCDOWELL BLVD, Petaluma, CA 94954
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Secondary Practice Location 1

Location 12255 Challenger WaySanta Rosa, CA 95407-5423 · Phone (707) 545-4551

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Samantha Leigh Cardozo M.s. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890147615
PECOS Enrollment IDI20240117003417
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

REBECCA KATZ FINNEMORE MD
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
ROXANA INFANTE
Physician Assistant
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
HEIDI DITTRICH NP
Nurse Practitioner (Family)
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
VANESSA ISELA BERMUDEZ-VILLALPANDO
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
DR. ANDREW BURNS ASHCROFT M.D.
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
DR. SHRADHA BIRADAR DO
Family Medicine
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
JARED ANDREW INING DDS
Dentist
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500
LORENA YANEZ-RAMIREZ ACSW
Social Worker (Clinical)
1179 N MCDOWELL BLVD
PETALUMA, CA 94954
Sonoma County (707) 559-7500

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 Cardozo's NPI number?

The NPI number for Samantha Cardozo is 1114349578. It was assigned to this individual provider in the NPPES registry on January 19, 2014.

Where is Samantha Cardozo located?

Samantha Cardozo practices at 1179 N Mcdowell Blvd, Petaluma, CA 94954. The listed phone number is (707) 559-7500.

What is Samantha Cardozo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Samantha Cardozo enrolled in Medicare?

Yes. Samantha Cardozo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samantha Cardozo was last updated on December 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.