SAMANTHA MARIE ESTACIO PSYD
NPI 1689349979
Psychologist - Clinical in Baltimore, MD

Active since August 10, 2021PECOS Enrolled
707 N BROADWAY, BALTIMORE, MD 21205(443) 923-9200 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 4, 2024, Aug 10, 2021 (2 updates tracked since 2021).

About Samantha Marie Estacio Psyd NPPES

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

SAMANTHA MARIE ESTACIO PSYD (NPI 1689349979) is an individual clinical provider in Baltimore, Maryland, licensed in Maryland (07148) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689349979
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSAMANTHA MARIE ESTACIOCredential: PSYD
Location Address707 N BROADWAYBaltimore, MD 21205-1888
Mailing Address1741 Ashland Ave Rm 646Baltimore, MD 21205-1531
Sole ProprietorNo
Enumeration DateAugust 10, 2021
Last NPPES UpdateSeptember 4, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
NPI 1689349979 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 MD · 07148
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.

707 N BROADWAY, Baltimore, MD 21205

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 Marie Estacio Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 21205 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

  • Average New Patient Price $183.44
  • Minimum New Patient Price $60.73
  • Maximum New Patient Price $183.44
  • Average New Patient Copayment $45.86
  • Minimum New Patient Copayment $15.18
  • Maximum New Patient Copayment $45.86

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $106.59
  • Minimum Established Patient Price $19.6
  • Maximum Established Patient Price $149.17
  • Average Established Patient Copayment $26.64
  • Minimum Established Patient Copayment $4.9
  • Maximum Established Patient Copayment $37.29

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Pediatrics)
707 N BROADWAY
BALTIMORE, MD 21205
Psychiatry & Neurology (Neurology)
707 N BROADWAY
BALTIMORE, MD 21205
Psychiatry & Neurology (Psychiatry)
707 N BROADWAY
BALTIMORE, MD 21205
Psychiatry & Neurology (Neurodevelopmental Disabilities)
707 N BROADWAY
BALTIMORE, MD 21205
Psychiatry & Neurology (Psychiatry)
707 N BROADWAY
BALTIMORE, MD 21205
Psychiatry & Neurology (Child & Adolescent Psychiatry)
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Pediatrics
707 N BROADWAY
BALTIMORE, MD 21205
Psychologist
707 N BROADWAY, SUITE 232
BALTIMORE, MD 21205
Pediatrics
707 N BROADWAY
BALTIMORE, MD 21205
Nurse Practitioner (Pediatrics)
707 N BROADWAY
BALTIMORE, MD 21205
Nurse Practitioner (Pediatrics)
707 N BROADWAY
BALTIMORE, MD 21205
Pediatrics
707 N BROADWAY
BALTIMORE, MD 21205
Nurse Practitioner (Pediatrics)
707 N BROADWAY
BALTIMORE, MD 21205
Nurse Practitioner (Pediatrics)
707 N BROADWAY
BALTIMORE, MD 21205
Nurse Practitioner (Pediatrics)
707 N BROADWAY
BALTIMORE, MD 21205
Pediatrics (Neurodevelopmental Disabilities)
707 N BROADWAY
BALTIMORE, MD 21205
Psychiatry & Neurology (Neurology)
707 N BROADWAY
BALTIMORE, MD 21205
Pediatrics (Neurodevelopmental Disabilities)
707 N BROADWAY
BALTIMORE, MD 21205
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
707 N BROADWAY, KENNEDY KRIEGER INSTITUTE
BALTIMORE, MD 21205
Psychologist (Clinical Child & Adolescent)
707 N BROADWAY
BALTIMORE, MD 21205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689349979, enumerated as an "individual" on August 10, 2021.

The provider is located at 707 N BROADWAY BALTIMORE, MD 21205 and the phone number is (443) 923-9200.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.