SAMANTHA ROOP PSYD
NPI 1174313472
Clinical Neuropsychologist in Austin, TX
About Samantha Roop Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA ROOP PSYD (NPI 1174313472) is an individual clinical neuropsychologist in Austin, Texas, licensed in Texas (39995) and active in the NPI registry since May 2025. She has opted out of Medicare through December 16, 2027 and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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 Roop Psyd 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 December 16, 2025 through December 16, 2027.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Roop's NPI number?
The NPI number for Samantha Roop is 1174313472. It was assigned to this individual provider in the NPPES registry on May 9, 2025.
Where is Samantha Roop located?
Samantha Roop practices at 3660 Stoneridge Rd Ste F101, Austin, TX 78746. The listed phone number is (512) 329-8222.
What is Samantha Roop's specialty?
The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.
Is Samantha Roop enrolled in Medicare?
No. Samantha Roop has opted out of Medicare through December 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Samantha Roop was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Samantha Roop, PSYD · NPI 1174313472
Clinical Neuropsychologist provider in Austin, Texas. Individual provider, active in the CMS NPPES registry since May 9, 2025.
## Identity
- **NPI:** 1174313472 (Entity type: Individual)
- **Enumerated:** May 9, 2025
- **Primary specialty:** Clinical Neuropsychologist · taxonomy 103G00000X
- **State license:** 39995 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3660 STONERIDGE RD STE F101, Austin, TX 78746-7759
- **Phone:** (512) 329-8222
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through December 16, 2027); services are provided under private contract
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1174313472) · Data from the CMS NPPES public registry.