SAMANTHA E WASHINGTON PSSYD
NPI 1205578416
Psychologist - Clinical in Milwaukee, WI
About Samantha E Washington Pssyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA E WASHINGTON PSSYD (NPI 1205578416) is an individual clinical provider in Milwaukee, Wisconsin, licensed in Wisconsin (3886-57) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha E Washington Pssyd 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.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Washington reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milwaukee, WI 53212
- Reassigned Medicare billing, Wisconsin enrollment
- 88 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53212 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GLENDALE, WI 53212
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 Washington's NPI number?
The NPI number for Samantha Washington is 1205578416. It was assigned to this individual provider in the NPPES registry on April 8, 2022.
Where is Samantha Washington located?
Samantha Washington practices at 220 W Capitol Dr, Milwaukee, WI 53212. The listed phone number is (414) 727-6320.
What is Samantha Washington's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Samantha Washington enrolled in Medicare?
Yes. Samantha Washington 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.
Which organization bills Medicare for Samantha Washington's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Washington reassigns Medicare benefits to Outreach Community Health Centers, Inc (Milwaukee, WI). The 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 Samantha Washington's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Washington accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Network Health list Samantha Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Samantha Washington was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Samantha E Washington, PSSYD · NPI 1205578416
Clinical provider in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since April 8, 2022.
## Identity
- **NPI:** 1205578416 (Entity type: Individual)
- **Enumerated:** April 8, 2022
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 3886-57 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 220 W CAPITOL DR, Milwaukee, WI 53212-1185
- **Phone:** (414) 727-6320 · **Fax:** (414) 727-6328
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Outreach Community Health Centers, Inc (NPI 1710032669, Milwaukee, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** October 5, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1205578416) · Data from the CMS NPPES public registry.