Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samantha Black, PSYD

Individual provider Counselor · NPI 1811568025

Dr. Samantha Black, PSYD is a Clinical Psychologist in Columbus, Ohio. Qualified in 2022, 4 years ago. Practices with Mid-Ohio Psychological Services, Inc, a 12-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2021
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

2238 S Hamilton Rd Ste 200
Columbus, OH 43232-4382
Phone: (740) 751-0042
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 08687 (OH)
Counselor Taxonomy 101Y00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811568025
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJuly 8, 2021
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Mid-Ohio Psychological Services, Inc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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