SAMANTHA PECKHAM PMHNP
NPI 1306617568
Nurse Practitioner - Psychiatric/Mental Health in Media, PA

Q: What is Samantha Peckham's NPI number?

The NPI number for Samantha Peckham is 1306617568. It was assigned to this individual provider in the NPPES registry on January 15, 2024.

Q: What is Samantha Peckham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Peckham 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.

Active since January 15, 2024

116 W BALTIMORE AVE, MEDIA, PA 19063(610) 638-6738(610) 672-6181 Get Directions Write a Review

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

On this page

About Samantha Peckham Pmhnp NPPES

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

SAMANTHA PECKHAM PMHNP (NPI 1306617568) is an individual psychiatric/mental health provider in Media, Pennsylvania, licensed in Pennsylvania (SP029109) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1306617568

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSAMANTHA PECKHAMCredential: PMHNP

Location Address116 W BALTIMORE AVEMedia, PA 19063-3206

Mailing Address116 W Baltimore AveMedia, PA 19063-3206 · (610) 638-6738 · Fax (610) 672-6181

Phone(610) 638-6738

Fax(610) 672-6181

Sole ProprietorNo

Enumeration DateJanuary 15, 2024

Last NPPES UpdateNovember 24, 2025

NPPES CertifiedNovember 24, 2025

✔ NPI 1306617568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in PA · SP029109

116 W BALTIMORE AVE, Media, PA 19063

Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAITLYN TULLY

Counselor

116 W BALTIMORE AVE
MEDIA, PA 19063

Delaware County (610) 638-6738

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 Peckham's NPI number?

The NPI number for Samantha Peckham is 1306617568. It was assigned to this individual provider in the NPPES registry on January 15, 2024.

Where is Samantha Peckham located?

Samantha Peckham practices at 116 W Baltimore Ave, Media, PA 19063. The listed phone number is (610) 638-6738.

What is Samantha Peckham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Samantha Peckham 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.