DR. THOMANDRA SHAVAUN SAM PH.D.
NPI 1477850667
Psychologist in Baton Rouge, LA

Active since February 24, 2011PECOS EnrolledAccepts Medicare Assignment
6400 PERKINS RD, BATON ROUGE, LA 70808(225) 330-0497(225) 330-0498 Get Directions Write a Review

NPPES record last updated: March 14, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 14, 2023, Jan 23, 2023, Feb 26, 2016 (3 updates tracked since 2016).

About Dr. Thomandra Shavaun Sam Ph.d. NPPES

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

DR. THOMANDRA SHAVAUN SAM PH.D. (NPI 1477850667) is an individual psychologist in Baton Rouge, Louisiana, licensed in Louisiana (1331) and active in the NPI registry since February 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Opelousas, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1477850667
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. THOMANDRA SHAVAUN SAMCredential: PH.D.
Location Address6400 PERKINS RDBaton Rouge, LA 70808-4124
Mailing Address5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038 · (225) 330-0497 · Fax (225) 765-9196
Fax(225) 330-0498
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 24, 2011
Last NPPES UpdateMarch 14, 20233 updates tracked since enumeration
NPPES CertifiedMarch 14, 2023
NPI 1477850667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in LA · 1331
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Also ListedPsychologist · CounselingTaxonomy 103TC1900X
6400 PERKINS RD, Baton Rouge, LA 70808

Secondary Practice Location 1

Location 1576 Desiree RdOpelousas, LA 70570-1350 · Phone (337) 351-6561 · Fax (828) 227-7004

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomandra Shavaun Sam Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860864618
PECOS Enrollment IDI20230204000522
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.

Other Providers at the Same Location NPPES 19

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

Nurse Practitioner (Family)
6400 PERKINS RD, INPATIENT UNIT
BATON ROUGE, LA 70808
Specialist (Research Study)
6400 PERKINS RD
BATON ROUGE, LA 70808
Nurse Practitioner (Women's Health)
6400 PERKINS RD
BATON ROUGE, LA 70808
Nurse Practitioner (Adult Health)
6400 PERKINS RD
BATON ROUGE, LA 70808
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6400 PERKINS RD, PENNINGTON CENTER
BATON ROUGE, LA 70808
Internal Medicine
6400 PERKINS RD
BATON ROUGE, LA 70808
Durable Medical Equipment & Medical Supplies
6400 PERKINS RD
BATON ROUGE, LA 70808
Psychologist (Clinical)
6400 PERKINS RD
BATON ROUGE, LA 70808

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477850667, enumerated as an "individual" on February 24, 2011.

The provider is located at 6400 PERKINS RD BATON ROUGE, LA 70808 and the phone number is (225) 330-0497.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.