SAMADHI CENTER, P.C.
NPI 1164522611
Psychologist in Soldotna, AK

Active since September 25, 2006
174 E REDOUBT AVE, SOLDOTNA, AK 99669(907) 262-1260(907) 262-4403 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samadhi Center, P.c. NPPES

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

SAMADHI CENTER, P.C. (NPI 1164522611) is a healthcare organization registered as a psychologist in Soldotna, Alaska and active in the NPI registry since September 2006. The organization lists Kathleen L Dinius, President, as its authorized official.

NPPES Registry Identity

NPI1164522611
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameSAMADHI CENTER, P.C.
Location Address174 E REDOUBT AVESoldotna, AK 99669-8012
Mailing Address174 E Redoubt AveSoldotna, AK 99669-8012 · (907) 262-1260 · Fax (907) 262-4403
Fax(907) 262-4403
Organization SubpartNo
Authorized OfficialKathleen L DiniusPresident · (907) 262-1260
Enumeration DateSeptember 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164522611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
174 E REDOUBT AVE, Soldotna, AK 99669

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samadhi Center, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateAlaskaEnrollment IDO20040728001533Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Samadhi Center, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1669564068
174 E REDOUBT AVE
Soldotna, AK 99669
(907) 262-1260
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Samadhi Center, P.C.'s NPI number?

The NPI number for Samadhi Center, P.C. is 1164522611. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Samadhi Center, P.C. located?

Samadhi Center, P.C. is located at 174 E Redoubt Ave, Soldotna, AK 99669. The listed phone number is (907) 262-1260.

What is Samadhi Center, P.C.'s specialty?

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

Is Samadhi Center, P.C. enrolled in Medicare?

Yes. Samadhi Center, P.C. is registered in the Medicare PECOS enrollment system.

When is Samadhi Center, P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Alaska, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Samadhi Center, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Samadhi Center, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Samadhi Center, P.C. was last updated on August 22, 2020. 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.