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

Dr. Thomandra Shavaun Sam, PHD

Individual provider Counseling Psychologist · NPI 1477850667

Dr. Thomandra Shavaun Sam, PHD is a Clinical Psychologist in Denver, Colorado. Qualified in 2010, 16 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
16
Licensed in
CO
In the registry since
2011
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3600 S Beeler St Ste 110
Denver, CO 80237-1802
Phone: (720) 347-8559
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 20971 E Smoky Hill Rd Ste 204, Aurora, CO 80015-5187 — (720) 347-8559
  • 685 Citadel Dr E Ste 325, Colorado Springs, CO 80909-5326 — (720) 347-8559
  • 6400 Perkins Rd, Baton Rouge, LA 70808-4124 — (225) 330-0497
  • 576 Desiree Rd, Opelousas, LA 70570-1350 — (337) 351-6561

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 0005019 (CO)
Counseling Psychologist Taxonomy 103TC1900X

Record details

NPI number1477850667
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedFebruary 24, 2011
Last updated in NPPESJuly 27, 2026
Certification dateJuly 27, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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