Judith Eva Samuel

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001146 Issued in GA

Practice address

3855 Presidential Pkwy
Atlanta, GA 30340-3705

Phone

(770) 451-6838

Fax

(770) 451-7408

NPI assigned

Apr 14, 2010

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

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271203200000",
    "number": "1841516929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 PRESIDENTIAL PKWY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303403705",
            "telephone_number": "770-451-6838",
            "fax_number": "770-451-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 PRESIDENTIAL PKWY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303403705",
            "telephone_number": "770-451-6838",
            "fax_number": "770-451-7408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "JUDITH",
        "middle_name": "EVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "001146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Samuel
• Angela Maria Samuel, DNP
• Brittinae Samuel
• Helen R Samuel, RN
• Jaine Samuel
• Lekha Samuel, OD
• Sharmila Samuel
• Carol Ann Samuels, M.S.,D.C.
• Dalora Samuels
• Nicolai Samuels

• Marriage & Family Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; 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.