Active NPI
James Michael Sam, PHD. LMSW
- Clinical Psychologist
- Port Huron, MI
National Provider Identifier
1306919717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301009063
- Practice address
- 1209 Richardson St
Port Huron, MI 48060-3548 - Phone
- (810) 984-5156
- NPI assigned
- Nov 15, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401000060 | MI | |
| Clinical Psychologist | 103TC0700X | 6301009063 | MI | Primary |
| Clinical Social Worker | 1041C0700X | 6801032915 | MI |
Addresses
Primary practice location
1209 Richardson St
Port Huron, MI 48060-3548
Mailing address
9607 River Rd
Clay, MI 48001-4016
Phone (810) 794-7574
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401000060 | MI | MD | Professional Counselor |
| 6301009063 | MI | MD | Clinical Psychologist |
| 6801032915 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Port Huron | Clinical | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Port Huron Hospital Physician GRP
- Psychiatry Physician
- Port Huron, MI
- NPI 1386888170
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1306919717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9607 RIVER RD",
"city": "CLAY",
"state": "MI",
"postal_code": "480014016",
"telephone_number": "810-794-7574",
"fax_number": "810-794-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1209 RICHARDSON ST",
"city": "PORT HURON",
"state": "MI",
"postal_code": "480603548",
"telephone_number": "810-984-5156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAM",
"first_name": "JAMES",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHD. LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401000060",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301009063",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801032915",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Huron, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.