Richard M. Samuels

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3043 Issued in AZ

Practice address

8776 E Shea Blvd
B3A-320
Scottsdale, AZ 85260-6629

Phone

(480) 661-9896

Fax

(480) 661-5292

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Richard M. Samuels Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Guardian Eldercare PC

  • Community/Behavioral Health Agency
  • Hackensack, NJ
  • NPI 1194888008
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376604751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8776 E SHEA BLVD",
            "address_2": "B3A-320",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606629",
            "telephone_number": "480-661-9896",
            "fax_number": "480-661-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8776 E SHEA BLVD",
            "address_2": "B3A-320",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606629",
            "telephone_number": "480-661-9896",
            "fax_number": "480-661-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "RICHARD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "SAMUELS",
            "middle_name": "M.",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Amanda Lynn Sams, MD
• Morgan Sams
• Samuel D. Benjamin MD, MD(H), PLLC
• Samuel M. Young, M.D., PC.
• Ashbeel Samuel, D.O
• Nima Sana, DPM
• Angie Sanchez, RBT
• Elizabeth Sanchez, PHARMD
• Eva Antonieta Sanchez
• Ianelly Sanchez

• Clinical Psychologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.