SAMANTHA M CLEMO PSYD
NPI 1821772112
Psychologist in Saint Louis, MO

Active since June 15, 2023PECOS Enrolled
1 CHILDRENS PL STE 3N-14, SAINT LOUIS, MO 63110(314) 454-6069 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 31, 2025, Jun 15, 2023 (2 updates tracked since 2023).

About Samantha M Clemo Psyd NPPES

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

SAMANTHA M CLEMO PSYD (NPI 1821772112) is an individual psychologist in Saint Louis, Missouri, licensed in Missouri (2025040315) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1821772112
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSAMANTHA M CLEMOCredential: PSYD
Location Address1 CHILDRENS PL STE 3N-14Saint Louis, MO 63110-1002
Mailing Address1 Childrens Pl Ste 3n-14Saint Louis, MO 63110-1002 · (314) 454-6069
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 15, 2023
Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
NPI 1821772112 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 MO · 2025040315
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.
1 CHILDRENS PL STE 3N-14, Saint Louis, MO 63110

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

PECOS PAC ID1658857008
PECOS Enrollment IDI20260204003354
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.

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.

Psychologist (Clinical Child & Adolescent)
1 CHILDRENS PL STE 3N-14
SAINT LOUIS, MO 63110
Psychologist
1 CHILDRENS PL STE 3N-14
SAINT LOUIS, MO 63110
Psychologist
1 CHILDRENS PL STE 3N-14
SAINT LOUIS, MO 63110
Psychologist
1 CHILDRENS PL STE 3N-14
SAINT LOUIS, MO 63110
Psychologist
1 CHILDRENS PL STE 3N-14
SAINT LOUIS, MO 63110
Psychologist (Clinical Child & Adolescent)
1 CHILDRENS PL STE 3N-14
SAINT LOUIS, MO 63110
Psychologist (Health Service)
1 CHILDRENS PL STE 3N-14
SAINT LOUIS, MO 63110

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 Clemo's NPI number?

The NPI number for Samantha Clemo is 1821772112. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Samantha Clemo located?

Samantha Clemo practices at 1 Childrens Pl Ste 3n-14, Saint Louis, MO 63110. The listed phone number is (314) 454-6069.

What is Samantha Clemo's specialty?

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

Is Samantha Clemo enrolled in Medicare?

Yes. Samantha Clemo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Clemo was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.