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

Kaitlyn Sampler, CRPA

Individual provider Recovery Care Clinic/Center · NPI 1720951866

Kaitlyn Sampler, CRPA is a Recovery Care Clinic/Center in Lake Grove, New York. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

19 Beech St
Lake Grove, NY 11755-3141
Phone: (631) 672-1463
Show map & directions

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

Specialties & licences

Recovery Care Clinic/Center (primary) Taxonomy 261QR0800X

Record details

NPI number1720951866
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRPA
Sole proprietorYes
NPI enumeratedSeptember 25, 2025
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address19 Beech St, Lake Grove, NY 11755-3141