Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225149032 Individual Practitioner Male Practitioner

Dr. Gary Michael Sampson , PhD

Psychologist • Longview, WA

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Gary Sampson, PhD is a certified Psychologist practicing in Longview, WA. With approximately 45 years of clinical experience since completing medical education in 1981, Dr. Sampson delivers high-quality medical care to the local community at 945 11TH AVENUE.

Dr. Sampson is affiliated with Northwest Psychological Resources Llc and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

945 11th Avenue

Longview, WA 98632

Telephone 8883138600
Fax 3606367372

Medicare Profile & Education

Medical School

Other

Graduation Year

1981

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Longview, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
45 Yrs +23.7 yrs vs City Avg
City Avg: 21.3 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Longview, WA (1137 Statewide)

Telehealth Adoption Rate
30.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
56.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sampson (45 Years) 45 Yrs
Longview Specialty Average (21.3 Years) 21.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90834 Psychotherapy, 45 minutes
156 13 $231.41 $101.52

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License WA 1269

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Hospital & Practice Group Affiliations

Northwest Psychological Resources Llc

945 11th Ave, Longview, WA 986322555

Phone: 3604148600

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Dr. David Devidal , PhD

Psychologist - Clinical

NPI 1033220843

Doctor of Philosophy (Ph.D.)

NPI 1053422014

Doctor of Philosophy (Ph.D.)

Dr. Ibrahim Kurdieh , PhD

Psychologist - Clinical

NPI 1063819175

Doctor of Philosophy (Ph.D.)

Jana Schmutz , LMHC

Counselor - Mental Health

NPI 1114306867

Licensed Mental Health Counselor

Alisha Weaver , LMHCA

Counselor - Mental Health

NPI 1124858659
Aniezka Jenissen , LMHC, CDP

Counselor - Mental Health

NPI 1144392325

Licensed Mental Health Counselor, CDP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 17, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2011

Registered at 945 11TH AVENUE, LONGVIEW, WA 98632 (Tel: 8883138600)

📍
Updated Business Mailing Address November 17, 2011

Registered at 945 11TH AVENUE, LONGVIEW, WA 98632 (Tel: 8883138600)

👤
Provider Name / Credentials Updated November 17, 2011

Recorded as GARY SAMPSON, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2011

Psychologist (License #1269 in WA)

🟢
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225149032
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: November 17, 2011
Sole Proprietor: No

Mailing Address

945 11th Avenue

Longview, WA 98632

Phone: 8883138600

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.