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

Samantha Colombo, PHD

Individual provider Clinical Psychologist · NPI 1205797701

Samantha Colombo, PHD is a Clinical Psychologist in Fridley, Minnesota. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2025
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

5218 Matterhorn Dr NE
Fridley, MN 55421-1334
Phone: (218) 830-1166
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence LP7289 (MN)

Record details

NPI number1205797701
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 24, 2025
Last updated in NPPESNovember 24, 2025
Certification dateNovember 23, 2025
Mailing address5218 Matterhorn Dr Ne, Fridley, MN 55421-1334

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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