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