DR. SAMANTHA BRYN MACKSON PSYD
NPI 1699443317
Psychologist in Pinecrest, FL

Active since August 30, 2021Opted out of Medicare · through Jan 1, 2028
10205 S DIXIE HWY STE 203, PINECREST, FL 33156(305) 662-2686 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samantha Bryn Mackson Psyd NPPES

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

DR. SAMANTHA BRYN MACKSON PSYD (NPI 1699443317) is an individual psychologist in Pinecrest, Florida, licensed in Florida (PY11220) and active in the NPI registry since August 2021. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1699443317
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SAMANTHA BRYN MACKSONCredential: PSYD
Location Address10205 S DIXIE HWY STE 203Pinecrest, FL 33156-3168
Mailing Address413 E Palmetto Park Rd Apt 443Boca Raton, FL 33432-5185 · (954) 600-5405
Sole ProprietorYes
Enumeration DateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
NPI 1699443317 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 FL · PY11220
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.
10205 S DIXIE HWY STE 203, Pinecrest, FL 33156

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. Samantha Bryn Mackson Psyd 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
10205 S DIXIE HWY STE 203
PINECREST, FL 33156
Psychologist (Clinical)
10205 S DIXIE HWY STE 203
PINECREST, FL 33156
Psychologist
10205 S DIXIE HWY STE 203
PINECREST, FL 33156
Psychologist
10205 S DIXIE HWY STE 203
PINECREST, FL 33156
Marriage & Family Therapist
10205 S DIXIE HWY STE 203
PINECREST, FL 33156
Psychologist (Clinical)
10205 S DIXIE HWY STE 203
PINECREST, FL 33156
Psychologist
10205 S DIXIE HWY STE 203
PINECREST, FL 33156

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 Mackson's NPI number?

The NPI number for Samantha Mackson is 1699443317. It was assigned to this individual provider in the NPPES registry on August 30, 2021.

Where is Samantha Mackson located?

Samantha Mackson practices at 10205 S Dixie Hwy Ste 203, Pinecrest, FL 33156. The listed phone number is (305) 662-2686.

What is Samantha Mackson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Samantha Mackson enrolled in Medicare?

No. Samantha Mackson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Samantha Mackson was last updated on August 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.