Active NPI
Steven Eric Samuel, PHD
- Forensic Psychologist
- Philadelphia, PA
National Provider Identifier
1538216460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- Practice address
- 125 S 9TH St
Suite 1003
Philadelphia, PA 19107-5125 - Phone
- (215) 829-0331
- Fax
- (215) 829-0338
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PS006031L | PA | |
| Clinical Psychologist | 103TC0700X | PS006031L | PA | |
| Forensic Psychologist | 103TF0200X | NU | Primary |
Addresses
Primary practice location
125 S 9TH St
Suite 1003
Philadelphia, PA 19107-5125
Mailing address
125 S 9TH St
Suite 1003
Philadelphia, PA 19107-5125
Phone (215) 829-0331
Other names 1
- Dr. Steven Eric Samuel
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS006031L | PA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Timothy J Michals MD PC | 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.
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1407920804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1538216460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 S 9TH ST",
"address_2": "SUITE 1003",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075125",
"telephone_number": "215-829-0331",
"fax_number": "215-829-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S 9TH ST",
"address_2": "SUITE 1003",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191075125",
"telephone_number": "215-829-0331",
"fax_number": "215-829-0338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMUEL",
"first_name": "STEVEN",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "PA",
"license": "PS006031L",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS006031L",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEVEN",
"last_name": "SAMUEL",
"middle_name": "ERIC",
"prefix": "DR.",
"credential": "PHD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Philadelphia, PA
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.