Active NPI
Sam Caldwell
- Mental Health Counselor
- Johnston, RI
National Provider Identifier
1487575189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 26 Pezzullo St Apt 2
Johnston, RI 02919-6239 - Phone
- (401) 649-6652
- Fax
- (401) 649-6652
- NPI assigned
- Jul 21, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
26 Pezzullo St Apt 2
Johnston, RI 02919-6239
Mailing address
26 Pezzullo St Apt 2
Johnston, RI 02919-6239
Phone (401) 649-6652
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784592000000",
"number": "1487575189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 PEZZULLO ST APT 2",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029196239",
"telephone_number": "401-649-6652",
"fax_number": "401-649-6652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 PEZZULLO ST APT 2",
"city": "JOHNSTON",
"state": "RI",
"postal_code": "029196239",
"telephone_number": "401-649-6652",
"fax_number": "401-649-6652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDWELL",
"first_name": "SAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-07-21",
"last_updated": "2026-07-21",
"certification_date": "2026-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnston, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.