Emily Samuel

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EMILY SAMUEL

Doing business as

Emily Samuel, PMHNP-BC

Practice address

888 Prospect St Ste 200
La Jolla, CA 92037-4261

Phone

(415) 849-2466

Fax

(415) 376-4529

NPI assigned

Aug 11, 2021

Last updated

Jul 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Samuel, PMHNPNPI 1639549447

Title

Owner

Phone

(415) 849-2466

Specialties & licenses 1

Addresses

Other names 1

• Emily Samuel, PMHNP-BC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily Samuel, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • La Jolla, CA
  • NPI 1639549447
  NPD Authorized official

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1578238580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 PROSPECT ST STE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374261",
            "telephone_number": "415-849-2466",
            "fax_number": "415-376-4529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 PROSPECT ST STE 200",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374261",
            "telephone_number": "415-849-2466",
            "fax_number": "415-376-4529"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1390 Market St Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941025404",
            "country_code": "US",
            "telephone_number": "415-849-2466",
            "fax_number": "415-376-4529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMILY SAMUEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-11",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-849-2466",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emily Samuel, PMHNP-BC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

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

Verify at the official NPI Registry.