Organization Active NPI

Samuel Yaffe, PH.D., Incorporated

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1114068046
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
05726 Issued in MD
Legal business name
SAMUEL YAFFE, PH.D., INCORPORATED
Practice address
2 Hamill Rd Ste 324-C
Baltimore, MD 21210-1813
Phone
(410) 323-3232
Fax
(410) 472-3735
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Samuel Mark Yaffe, PH.D.
Title
President
Phone
(410) 323-3232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 05726 MD Primary

Addresses

Primary practice location

2 Hamill Rd Ste 324-C
Baltimore, MD 21210-1813

Mailing address

2 Hamill Rd Ste 324-C
Baltimore, MD 21210-1813
Phone (410) 323-3232

National Provider Directory

National Provider Directory

Locations

2 Hamill Rd
Ste 324C
Baltimore, MD 21210
Phone (410) 323-3232

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114068046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD STE 324-C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101813",
            "telephone_number": "410-323-3232",
            "fax_number": "410-472-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HAMILL RD STE 324-C",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101813",
            "telephone_number": "410-323-3232",
            "fax_number": "410-472-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL YAFFE, PH.D., INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YAFFE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-323-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "05726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.