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

Samantha Lynn Klockow, PSYD, LP

Individual provider Clinical Psychologist · NPI 1457860884

Samantha Lynn Klockow, PSYD, LP is a Clinical Psychologist in Greenfield, Wisconsin. Qualified in 2018, 8 years ago. Practices with Brightside Medical PA, a 95-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Wisconsin.

Years since qualifying
8
Licensed in
MN, WI
In the registry since
2017
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

4131 W Loomis Rd Apt 120
Greenfield, WI 53221-2006
Phone: (414) 424-2445
Fax: (414) 424-2446
Show map & directions

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 3983-57 (WI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 6493 (MN)

Record details

NPI number1457860884
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , LP
Sole proprietorNo
NPI enumeratedSeptember 28, 2017
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Brightside Medical Pa — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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