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

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: November 01, 2026.

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

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
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Mongold-cabral reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southwest Behavioral Health Services, Inc.
Same address
Specialist
11221 N 28TH DR BLDG E
Phoenix, AZ 85029
  • Reassigned Medicare billing, Arizona enrollment
  • 137 clinicians in this Medicare group
NPI 1922517655 (602) 285-4318

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
11221 N 28TH DR BLDG E
PHOENIX, AZ 85029
Maricopa County (602) 997-2233
BRINTHY VINAYAGA MOORTHY
Student in an Organized Health Care Education/Training Program
11221 N 28TH DR BLDG E
PHOENIX, AZ 85029
Maricopa County (602) 997-2233
SOUTHWEST BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
11221 N 28TH DR BLDG E
PHOENIX, AZ 85029
Maricopa County (602) 997-2233
MR. BRIAN PAUL COLWELL LPC
Counselor (Mental Health)
11221 N 28TH DR BLDG E
PHOENIX, AZ 85029
Maricopa County (602) 997-2233
AMANDA RACHEL KERR D.O.
Psychiatry & Neurology (Psychiatry)
11221 N 28TH DR BLDG E
PHOENIX, AZ 85029
Maricopa County (602) 997-2233
VICTORIA F THOMAS LPC
Counselor (Professional)
11221 N 28TH DR BLDG E
PHOENIX, AZ 85029
Maricopa County (602) 997-2233
CHASITY STAR SEZATE
Behavior Analyst
11221 N 28TH DR BLDG E
PHOENIX, AZ 85029
Maricopa County (480) 349-7117
VANJA DJURDJEVIC
Psychologist
11221 N 28TH DR BLDG E
PHOENIX, AZ 85029
Maricopa County (602) 997-2233

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 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.

Where is Samantha Mongold-cabral located?

Samantha Mongold-cabral practices at 11221 N 28th Dr Bldg E, Phoenix, AZ 85029. The listed phone number is (602) 388-1700.

What is Samantha Mongold-cabral's specialty?

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

Is Samantha Mongold-cabral enrolled in Medicare?

Yes. Samantha Mongold-cabral is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Mongold-cabral's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Mongold-cabral reassigns Medicare benefits to Southwest Behavioral Health Services, Inc. (Phoenix, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Mongold-cabral's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Mongold-cabral accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Samantha Mongold-cabral 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 Samantha Mongold-cabral was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.