Pnina Samuel

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

014151 Issued in NY

Practice address

1268 E 14TH St
Brooklyn, NY 11230-5241

Phone

(818) 382-0045

NPI assigned

Sep 2, 2020

Sex

Female

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

• Pnina Samuel Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1689288177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CONOR RD",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273781",
            "telephone_number": "347-486-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1268 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305241",
            "telephone_number": "818-382-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "PNINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "014151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PNINA",
            "last_name": "SAMUEL",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nichole Monique Samuel, CNM
• Nirmala Samuel
• Noah Koppara Samuel, PHARMD
• Omana Samuel, NURSE PRACTITIONER
• Ossama R Samuel, M.D.
• Preethi Susan Samuel, PHARMD
• Racquel Latiesha Samuel, LCSW
• Sandra Samuel
• Shelby Kevin Samuel, M.D.
• Stanley Samuel, M.D.

• Mental Health Counselor in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.