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SAMANTHA COLOMBO PHD
NPI 1205797701
Psychologist - Clinical in Fridley, MN

Active since November 24, 2025PECOS Enrolled
5218 MATTERHORN DR NE, FRIDLEY, MN 55421(218) 830-1166 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Colombo Phd NPPES

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

SAMANTHA COLOMBO PHD (NPI 1205797701) is an individual clinical provider in Fridley, Minnesota, licensed in Minnesota (LP7289) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205797701
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSAMANTHA COLOMBOCredential: PHD
Location Address5218 MATTERHORN DR NEFridley, MN 55421-1334
Mailing Address5218 Matterhorn Dr NeFridley, MN 55421-1334 · (218) 830-1166
Phone(218) 830-1166
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 24, 2025
NPPES CertifiedNovember 23, 2025
✔ NPI 1205797701 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 MN · LP7289
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.
5218 MATTERHORN DR NE, Fridley, MN 55421
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Colombo Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416440516
PECOS Enrollment IDI20251205004348
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55421 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Colombo's NPI number?

The NPI number for Samantha Colombo is 1205797701. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Samantha Colombo located?

Samantha Colombo practices at 5218 Matterhorn Dr NE, Fridley, MN 55421. The listed phone number is (218) 830-1166.

What is Samantha Colombo's specialty?

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

Is Samantha Colombo enrolled in Medicare?

Yes. Samantha Colombo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Colombo was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.