DR. JACOB A SAMANDER
NPI 1710078787
Psychiatry & Neurology - Psychiatry in Ossining, NY

Q: What is Jacob Samander's NPI number?

The NPI number for Jacob Samander is 1710078787. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Jacob Samander's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacob Samander was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment

165 MAIN ST, OSSINING, NY 10562(914) 941-1263 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 3, 2021, Oct 12, 2016, Feb 9, 2016 (3 updates tracked since 2016).

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About Dr. Jacob A Samander NPPES

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

DR. JACOB A SAMANDER (NPI 1710078787) is an individual psychiatry provider in Ossining, New York, licensed in New York (241562-01) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1710078787

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. JACOB A SAMANDER

Location Address165 MAIN STOssining, NY 10562-4702

Mailing Address5265 University Pkwy Unit 101University Park, FL 34201-3012 · (914) 941-1263

Phone(914) 941-1263

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateSeptember 27, 2006

Last NPPES UpdateMarch 3, 20213 updates tracked since enumeration

NPPES CertifiedMarch 3, 2021

✔ NPI 1710078787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in NY · 241562-01✔ Licensed in CT · 44382

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.

Also ListedSpecialistTaxonomy 174400000X · License ME63339 (FL)

165 MAIN ST, Ossining, NY 10562

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Other Identifiers 1

Medicaid04179026NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacob A Samander 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 ID5890894380

PECOS Enrollment IDI20180726000105

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.

Medicare Billing Reassignment

Medicare enrollment records show Jacob Samander reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Open Door Family Medical Center, Inc.

Same address

Federally Qualified Health Center (FQHC)

165 MAIN ST
Ossining, NY 10562

Reassigned Medicare billing, New York enrollment
149 clinicians in this Medicare group

NPI 1467487637 (914) 941-1263

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10562 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

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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 20

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

OPEN DOOR FAMILY MEDICAL CENTER SCHOOL BASED MOBILE DENTAL VAN

Clinic/Center (Federally Qualified Health Center (FQHC))