Eric Abraham Samuels, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

29311 Issued in CA

Practice address

1639 Aqua Vista Rd
Richmond, CA 94805-2028

Phone

(203) 747-1220

Fax

(203) 747-1220

NPI assigned

Sep 28, 2011

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wright Institute

  • Clinic/Center
  • Berkeley, CA
  • NPI 1174807507
  NPD (past)

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891079661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24033",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946231033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 AQUA VISTA RD",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052028",
            "telephone_number": "203-747-1220",
            "fax_number": "203-747-1220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2728 Durant Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947041725",
            "country_code": "US",
            "telephone_number": "510-841-9230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "ERIC",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "29311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariela Salomon
• Noam Salpeter, MSC
• Nora Salvador, MD
• Naomi Salvatto
• Ranmali Samararatne, ASW
• Alicia Sanchez Sanz
• Boris E Sanchez
• Catia Sanchez
• Maricarmen Sanchez
• Leona Sandefur

• Clinical Psychologist in Richmond, CA
• Providers in Richmond, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.