DR. SUSAN J SAMPL PH.D.
NPI 1285768754
Psychologist - Clinical in Avon, CT

Q: What is Susan Sampl's NPI number?

The NPI number for Susan Sampl is 1285768754. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Q: What is Susan Sampl's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Sampl was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 15, 2007PECOS Enrolled

34 DALE RD STE 212, AVON, CT 06001(860) 803-9167 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Susan J Sampl Ph.d. NPPES

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

DR. SUSAN J SAMPL PH.D. (NPI 1285768754) is an individual clinical provider in Avon, Connecticut, licensed in Connecticut (1848) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1285768754

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SUSAN J SAMPLCredential: PH.D.

Location Address34 DALE RD STE 212Avon, CT 06001-3659

Mailing Address34 Dale Rd Ste 212Avon, CT 06001-3659 · (860) 803-9167

Phone(860) 803-9167

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateMarch 15, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1285768754 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 CT · 1848

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.

34 DALE RD STE 212, Avon, CT 06001

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Susan J Sampl Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870016256

PECOS Enrollment IDI20250326001895

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 06001 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

$183.10 typical visit price

range $60.82 – $183.10

Typical copayment $45.77 (range $15.20 – $45.77)

Most-billed visit code 99205

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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 Susan Sampl's NPI number?

The NPI number for Susan Sampl is 1285768754. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Susan Sampl located?

Susan Sampl practices at 34 Dale Rd Ste 212, Avon, CT 06001. The listed phone number is (860) 803-9167.

What is Susan Sampl's specialty?

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

Is Susan Sampl enrolled in Medicare?

Yes. Susan Sampl is registered in the Medicare PECOS enrollment system.

What insurance does Susan Sampl accept?

Health plans from Providence Health Plan list Susan Sampl 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 Susan Sampl was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.