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DR. SAMANTHA T BENDER PH.D.
NPI 1770529109
Psychologist - Clinical in Bethesda, MD

Active since June 22, 2006Opted out of Medicare · through Jul 1, 2027
4915 AUBURN AVE, SUITE 110, BETHESDA, MD 20814(301) 718-2971(301) 718-2972 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Samantha T Bender Ph.d. NPPES

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

DR. SAMANTHA T BENDER PH.D. (NPI 1770529109) is an individual clinical provider in Bethesda, Maryland, licensed in Maryland (03615) and active in the NPI registry since June 2006. She has opted out of Medicare through July 1, 2027.

NPPES Registry Identity

NPI1770529109
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SAMANTHA T BENDERCredential: PH.D.
Location Address4915 AUBURN AVE, SUITE 110Bethesda, MD 20814-2636
Mailing Address4915 Auburn Ave, Suite 110Bethesda, MD 20814-2636 · (301) 718-2971 · Fax (301) 718-2972
Phone(301) 718-2971
Fax(301) 718-2972
Sole ProprietorNo
Enumeration DateJune 22, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770529109 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 · 03615
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.
4915 AUBURN AVE, Bethesda, MD 20814
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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 T Bender Ph.d. 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 July 1, 2021 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2021
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

DR. GAIL L SEIKEN M.D.
Internal Medicine (Nephrology)
4915 AUBURN AVE, SUITE 104
BETHESDA, MD 20814
Montgomery County (301) 907-4646
PLEASANT HEALTH SERVICES INC
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
4915 AUBURN AVE, C/O DR. KALDUN NOSSULI, SUITE 306
BETHESDA, MD 20814
Montgomery County (301) 460-6372
GENARDRA PUGH LGPC
Counselor (Professional)
4915 AUBURN AVE, SUITE 102
BETHESDA, MD 20814
Montgomery County (301) 661-3481
DR. JAVED RAHMAT M.D.
Internal Medicine (Nephrology)
4915 AUBURN AVE, SUITE 104
BETHESDA, MD 20814
Montgomery County (301) 907-4646
EAST COAST BEHAVIORAL HEALTH, LLC
Community/Behavioral Health
4915 AUBURN AVE, SUITE 102
BETHESDA, MD 20814
Montgomery County (301) 830-2347
BETHESDA ALLERGY, ASTHMA, AND RESEARCH CENTER, LLC
Allergy & Immunology
4915 AUBURN AVE, SUITE 202
BETHESDA, MD 20814
Montgomery County (301) 907-3442
DR. AHMED KALDUN NOSSULI M.D.
Internal Medicine (Nephrology)
4915 AUBURN AVE, SUITE 104
BETHESDA, MD 20814
Montgomery County (301) 907-4646
INGRID ZOOI CONKLIN LCSW-C
Social Worker (Clinical)
4915 AUBURN AVE, SUITE 110
BETHESDA, MD 20814
Montgomery County (301) 718-2970

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 Bender's NPI number?

The NPI number for Samantha Bender is 1770529109. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Samantha Bender located?

Samantha Bender practices at 4915 Auburn Ave Suite 110, Bethesda, MD 20814. The listed phone number is (301) 718-2971.

What is Samantha Bender's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Samantha Bender enrolled in Medicare?

No. Samantha Bender has opted out of Medicare through July 1, 2027. 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 Bender was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.