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

Dr. Samantha Renee Pelcak, PHD

Individual provider Clinical Psychologist · NPI 1497292619

Dr. Samantha Renee Pelcak, PHD is a Clinical Psychologist in Fort Drum, New York. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

11050 Mount Belvedere Blvd
Fort Drum, NY 13602-5438
Phone: (315) 772-0215
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY-004732 (AZ)

Record details

NPI number1497292619
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 25, 2017
Last updated in NPPESNovember 12, 2024
Certification dateNovember 12, 2024

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