SAMANTHA MONGOLD-CABRAL PSY.D
NPI 1477411767
Psychologist - Clinical in Phoenix, AZ

Q: What is Samantha Mongold-cabral's NPI number?

The NPI number for Samantha Mongold-cabral is 1477411767. It was assigned to this individual provider in the NPPES registry on January 14, 2026.

Q: What is Samantha Mongold-cabral's specialty?

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

Active since January 14, 2026PECOS Enrolled

11221 N 28TH DR BLDG E, PHOENIX, AZ 85029(602) 388-1700 Get Directions Write a Review

NPPES record last updated: January 21, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 21, 2026, Jan 14, 2026 (2 updates tracked since 2026).

On this page

About Samantha Mongold-cabral Psy.d NPPES

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

SAMANTHA MONGOLD-CABRAL PSY.D (NPI 1477411767) is an individual clinical provider in Phoenix, Arizona, licensed in Arizona (005963) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1477411767

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSAMANTHA MONGOLD-CABRALCredential: PSY.D

Location Address11221 N 28TH DR BLDG EPhoenix, AZ 85029-5615

Mailing Address1849 S Power Rd Apt 1246Mesa, AZ 85206-4344

Phone(602) 388-1700

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJanuary 14, 2026

Last NPPES UpdateJanuary 21, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 21, 2026

✔ NPI 1477411767 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 AZ · 005963

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.

11221 N 28TH DR BLDG E, Phoenix, AZ 85029

Open in Google Maps ↗

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 Mongold-cabral Psy.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638657711

PECOS Enrollment IDI20260129004014

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 85029 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

$168.60 typical visit price

range $55.44 – $168.60

Typical copayment $42.15 (range $13.86 – $42.15)

Most-billed visit code 99205

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Other Providers at the Same Location NPPES 14

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

JACQUELINE BILLECI

Counselor (Professional)