Jacqueline Samalis, M.S. ED.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

Northeast Family Services
299 Lincoln St; Suite 201
Worcester, MA 01605

Phone

(508) 320-8046

NPI assigned

Mar 4, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1659966232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NORTHEAST FAMILY SERVICES",
            "address_2": "299 LINCOLN ST; SUITE 201",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-320-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NORTHEAST FAMILY SERVICES",
            "address_2": "299 LINCOLN ST; SUITE 201",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-320-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMALIS",
        "first_name": "JACQUELINE",
        "credential": "M.S. ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Mary Salvadore, DPM
• Claudiu M Salvan, MD
• Sam Alkhoury DMD PC
• Kerry L Sam, PHARMD
• Tony M Samaha, MD
• Joanne M Samant, MD
• Terese Samara, B.M.
• Charles SJ Samborski, D.D.S.
• Craig E Samitt, MD
• Jason Samlin, PSYD

• Counselor in Worcester, MA
• Providers in Worcester, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.