DR. JESSICA G SAMSON PSY.D.
NPI 1619149135
Psychologist in Rockville, MD

Active since March 25, 2008Opted out of Medicare · through Sep 3, 2026
3200 TOWER OAKS BLVD, SUITE 200, ROCKVILLE, MD 20852(301) 593-6554(301) 255-0461 Get Directions Write a Review

NPPES record last updated: March 25, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jessica G Samson Psy.d. NPPES

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

DR. JESSICA G SAMSON PSY.D. (NPI 1619149135) is an individual psychologist in Rockville, Maryland, licensed in Maryland (04526) and active in the NPI registry since March 2008. She has opted out of Medicare through September 3, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619149135
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. JESSICA G SAMSONCredential: PSY.D.
Location Address3200 TOWER OAKS BLVD, SUITE 200Rockville, MD 20852-4216
Mailing Address3200 Tower Oaks Blvd, Suite 200Rockville, MD 20852-4216 · (301) 593-6554 · Fax (301) 255-0461
Fax(301) 255-0461
Sole ProprietorYes
Enumeration DateMarch 25, 2008
NPI 1619149135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MD · 04526
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.

3200 TOWER OAKS BLVD, Rockville, MD 20852

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Jessica G Samson Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 3, 2014 through September 3, 2026.

Opt-Out Effective DateSeptember 3, 2014
Opt-Out In Effect ThroughSeptember 3, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
3200 TOWER OAKS BLVD, SUITE 250
ROCKVILLE, MD 20852
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3200 TOWER OAKS BLVD, SUITE 250
ROCKVILLE, MD 20852
Internal Medicine
3200 TOWER OAKS BLVD, SUITE 110
ROCKVILLE, MD 20852
Physical Medicine & Rehabilitation (Pain Medicine)
3200 TOWER OAKS BLVD, SUITE 430
ROCKVILLE, MD 20852
Clinic/Center (Ambulatory Surgical)
3200 TOWER OAKS BLVD
ROCKVILLE, MD 20852
Internal Medicine
3200 TOWER OAKS BLVD, SUITE#110
ROCKVILLE, MD 20852
Physical Medicine & Rehabilitation (Pain Medicine)
3200 TOWER OAKS BLVD, 430
ROCKVILLE, MD 20852
Physical Therapist
3200 TOWER OAKS BLVD, SUITE 450
ROCKVILLE, MD 20852

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619149135, enumerated as an "individual" on March 25, 2008.

The provider is located at 3200 TOWER OAKS BLVD SUITE 200 ROCKVILLE, MD 20852 and the phone number is (301) 593-6554.

Psychologist with taxonomy code 103T00000X.