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SAMANTHA KENNIS
NPI 1639597669
Psychiatry & Neurology - Psychiatry in New York, NY

Active since April 07, 2014PECOS EnrolledAccepts Medicare Assignment
317 E 17TH ST FL 9, NEW YORK, NY 10003(212) 420-2390 Get Directions Write a Review

NPPES record last updated: October 16, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Kennis NPPES

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

SAMANTHA KENNIS (NPI 1639597669) is an individual psychiatry provider in New York, New York, licensed in New York (282782) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2014).

NPPES Registry Identity

NPI1639597669
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameSAMANTHA KENNIS
Location Address317 E 17TH ST FL 9New York, NY 10003-3804
Mailing Address1090 Amsterdam Ave Ste 16fNew York, NY 10025-1737 · (201) 951-2530
Phone(212) 420-2390
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2014
Enumeration DateApril 7, 2014
Last NPPES UpdateOctober 16, 2019
✔ NPI 1639597669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 282782
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
317 E 17TH ST FL 9, New York, NY 10003
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Samantha Kennis 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 ID9638413586
PECOS Enrollment IDI20181212000721
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
46 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10003 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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 3

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

DR. DAVID H JIANG M.D.
Psychiatry & Neurology (Psychiatry)
317 E 17TH ST FL 9
NEW YORK, NY 10003
New York County (212) 420-2390
VIVIAN LIU
Student in an Organized Health Care Education/Training Program
317 E 17TH ST FL 9
NEW YORK, NY 10003
New York County (212) 420-2390
DR. DAVID ISAIAH TAYLOR MD, PHD
Student in an Organized Health Care Education/Training Program
317 E 17TH ST FL 9
NEW YORK, NY 10003
New York County (212) 420-2390

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 Kennis's NPI number?

The NPI number for Samantha Kennis is 1639597669. It was assigned to this individual provider in the NPPES registry on April 7, 2014.

Where is Samantha Kennis located?

Samantha Kennis practices at 317 E 17th St Fl 9, New York, NY 10003. The listed phone number is (212) 420-2390.

What is Samantha Kennis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Samantha Kennis enrolled in Medicare?

Yes. Samantha Kennis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Kennis accept?

Health plans from Providence Health Plan list Samantha Kennis 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 Kennis was last updated on October 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.