1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Clinic Center
  6. NPI Profile

MRS. SAMANTHA ASHLEY BERG
NPI 1467893115
Clinic/Center - Adolescent and Children Mental Health in New York, NY

Active since July 10, 2013
635 165 STREET, PROMISE PROGRAM 6TH FLOOR, NEW YORK, NY 10032(212) 305-4360 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Samantha Ashley Berg NPPES

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

MRS. SAMANTHA ASHLEY BERG (NPI 1467893115) is an individual adolescent and children mental health provider in New York, New York and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1467893115
Entity TypeIndividualFemale
Primary Taxonomy261QM0855X
Provider Legal NameMRS. SAMANTHA ASHLEY BERG
Location Address635 165 STREET, PROMISE PROGRAM 6TH FLOORNew York, NY 10032
Mailing Address635 165 Street, Promise Program 6th FloorNew York, NY 10032 · (212) 305-4360
Phone(212) 305-4360
Sole ProprietorYes
Enumeration DateJuly 10, 2013
✔ NPI 1467893115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

635 165 STREET, New York, NY 10032
Open in Google Maps ↗

Other Names 1

Former Name (1)Samantha Ashley Spillane

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 Berg's NPI number?

The NPI number for Samantha Berg is 1467893115. It was assigned to this individual provider in the NPPES registry on July 10, 2013. The provider is also known as Samantha Ashley Spillane.

Where is Samantha Berg located?

Samantha Berg practices at 635 165 Street Promise Program 6th Floor, New York, NY 10032. The listed phone number is (212) 305-4360.

What is Samantha Berg's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Samantha Berg was last updated on July 10, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.