Samantha Brustad, PSYD is a
Psychologist - Clinical based in Saint Petersburg, Florida. Samantha Brustad is licensed to practice in Florida (license number PY10363) and her current practice location is
9887 4th St N Ste 319, Saint Petersburg, Florida. She can be reached at her office (for appointments etc.) via phone at
(727) 379-2807.
NPI number for Samantha Brustad is 1013554435 and her current mailing address is 9887 4th St N Ste 319, Saint Petersburg, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013554435.
Healthcare Provider's Profile
Full Name | Samantha Brustad |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 9887 4th St N Ste 319, Saint Petersburg, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1013554435
- Provider Enumeration Date: 12/04/2019
- Last Update Date: 04/28/2020
Medical Identifiers
Medical identifiers for Samantha Brustad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013554435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Florida) | Secondary |
103TC0700X | Psychologist - Clinical | PY10363 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Samantha Brustad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Samantha Brustad, PSYD 9887 4th St N Ste 319, Saint Petersburg, FL 33702-8445 Ph: (727) 379-2807 | Samantha Brustad, PSYD 9887 4th St N Ste 319, Saint Petersburg, FL 33702-8445 Ph: (727) 379-2807 |
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