Samuel V. Highland, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS02118 Issued in RI

Practice address

1275 Wampanoag TRL Ste 3C
Riverside, RI 02915-1217

Phone

(401) 206-0304

Fax

(855) 595-1087

NPI assigned

Jul 1, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Emma Pendleton Bradley Hospital

  • Psychiatric Hospital
  • Riverside, RI
  • NPI 1578768867
  Medicare reassignment NPD
• Braver Medical, PLLC

  • Child & Adolescent Psychiatry Physician
  • Riverside, RI
  • NPI 1972265536

  Clinical

  NPD
• Emma Pendleton Bradley Hospital

  • Psychiatry Physician
  • Riverside, RI
  • NPI 1073705943
  NPD

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

{
    "created_epoch": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707523200000",
    "number": "1114544533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 WAMPANOAG TRL STE 3C",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151217",
            "telephone_number": "401-206-0304",
            "fax_number": "855-595-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 WAMPANOAG TRL STE 3C",
            "city": "RIVERSIDE",
            "state": "RI",
            "postal_code": "029151217",
            "telephone_number": "401-206-0304",
            "fax_number": "855-595-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGHLAND",
        "first_name": "SAMUEL",
        "middle_name": "V.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-01",
        "last_updated": "2024-02-10",
        "certification_date": "2024-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "PSY10000589",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "RI",
            "license": "PS02118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David A Herec, MD
• Francisco Argelis Heredia de Los Santos
• Rachel Joy Herman
• Jennifer Herren, PH.D.
• Angela Herrera
• Mica Hinga, LCSW
• Emily Beth Ho, RNP
• Andrea Jean Hogan, LICSW
• Maxwell Hogue
• Peter Amberg Hollmann, MD

• Clinical Psychologist in Riverside, RI
• Providers in Riverside, RI by specialty
• Clinical Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.