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

Dr. Samuel Thomas Gontkovsky, PSYD

Individual provider Clinical Psychologist · NPI 1801954920

Dr. Samuel Thomas Gontkovsky, PSYD is a Clinical Psychologist in Chillicothe, Ohio. Licensed in Mississippi, Nebraska, Ohio and Wisconsin. Registered with an NPI since 2006.

Licensed in
MS, NE, OH, WI
In the registry since
2006
Specialties on file
4
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

455 Shawnee Ln
Chillicothe, OH 45601-4145
Phone: (740) 779-4888
Fax: (740) 779-4898
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 7285 (OH)
Clinical Psychologist Taxonomy 103TC0700X · Licence 3446-57 (WI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 723 (NE)
Clinical Psychologist Taxonomy 103TC0700X · Licence 42692 (MS)

Record details

NPI number1801954920
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedDecember 4, 2006
Last updated in NPPESDecember 14, 2022
Certification dateDecember 14, 2022

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