Individual provider Active NPI

Chase B Samsel, MD

  • Child & Adolescent Psychiatry Physician
  • Riverside, RI
National Provider Identifier
1033370606
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
MD21593 Issued in RI
Practice address
1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061
Phone
(401) 432-1000
Fax
(401) 432-1500
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD21593 RI Primary

Addresses

Primary practice location

1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061

Mailing address

15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6179

Other practice location 1

101-103 Bacon St
Pawtucket, RI 02860
Phone (401) 722-3560

Other practice location 2

593 Eddy St
Providence, RI 02903-4923
Phone (401) 432-1000

Other practice location 3

24 Salt Pond Rd Ste H5
Wakefield, RI 02879-4337
Phone (401) 364-7705

Other practice location 4

1443 Hartford Ave
Johnston, RI 02919-3224
Phone (401) 273-8100

Other practice location 5

105 Bacon St
Pawtucket, RI 02860-5542
Phone (401) 722-3560

Other practice location 6

1516 Atwood Ave
Johnston, RI 02919-3223
Phone (401) 553-1000

Other practice location 7

4705A Old Post Rd
Charlestown, RI 02813-2591
Phone (401) 364-7705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120210000033 MA Practitioner - PsychiatryPractitioner - Pediatric Medicine 4284891797 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LP01319RIMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richmond Psychiatry Group Practice CurrentSince Aug 1, 2014 Accepting new patients

Locations

300 Longwood Ave
Ofc
Boston, MA 02115
Phone (617) 355-8083

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

Interoperability endpoints

  • Direct secure messaging: csamsel31014@direct.bostonchildrens.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1033370606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 LA SALLE SQ",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029031814",
            "telephone_number": "401-444-6179",
            "fax_number": "401-444-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 VETERANS MEMORIAL PKWY",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029155061",
            "telephone_number": "401-432-1000",
            "fax_number": "401-432-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101-103 Bacon St",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "02860",
            "country_code": "US",
            "telephone_number": "401-722-3560",
            "fax_number": "401-722-3593",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "593 Eddy St",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029034923",
            "country_code": "US",
            "telephone_number": "401-432-1000",
            "fax_number": "401-432-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Salt Pond Rd Ste H5",
            "address_purpose": "LOCATION",
            "city": "Wakefield",
            "state": "RI",
            "postal_code": "028794337",
            "country_code": "US",
            "telephone_number": "401-364-7705",
            "fax_number": "401-364-3310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1443 Hartford Ave",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029193224",
            "country_code": "US",
            "telephone_number": "401-273-8100",
            "fax_number": "401-861-8696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Bacon St",
            "address_purpose": "LOCATION",
            "city": "Pawtucket",
            "state": "RI",
            "postal_code": "028605542",
            "country_code": "US",
            "telephone_number": "401-722-3560",
            "fax_number": "401-722-5280",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1516 Atwood Ave",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029193223",
            "country_code": "US",
            "telephone_number": "401-553-1000",
            "fax_number": "401-553-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4705A Old Post Rd",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "RI",
            "postal_code": "028132591",
            "country_code": "US",
            "telephone_number": "401-364-7705",
            "fax_number": "401-364-1982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMSEL",
        "first_name": "CHASE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "RI",
            "license": "MD21593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, RI

Sources for this page

Verify at the official NPI Registry.