IndividualActive
Samantha Pieknik, PSY.D.
NPI 1366822652 · Clinical Child & Adolescent Psychologist · Phoenix, AZ
Provider details
- NPI number
- 1366822652
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4913 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7330 N 16th St Ste C-200
Phoenix, AZ 85020-5237
Phone: (480) 269-5803
Street-level locationGet directions
Mailing address
7330 N 16th St Ste C-200
Phoenix, AZ 85020-5237
Additional practice locations (2)
- 2345 E Thomas Rd Ste 200aPhoenix, AZ 85016-7818Phone: (480) 849-9694
- 501 E 1st StNewberg, OR 97132-2909Phone: (503) 538-4874
Registry dates
- Enumerated
- 2015-06-02
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.