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

Samantha Teach

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1366047250

Samantha Teach is a Nurse Practitioner in Detroit, Michigan. Qualified in 2022, 4 years ago. Practices with University Physician Group, a 402-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3901 Chrysler Dr Ste 3B
Detroit, MI 48201-2167
Phone: (313) 577-1396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2022064500 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704348939 (MI)

Record details

NPI number1366047250
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 1, 2020
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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