William Samuels, MD Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WILLIAM SAMUELS, MD INC

Practice address

480 Hope St
Providence, RI 02906-1631

Phone

(401) 272-5550

Fax

(401) 273-3343

NPI assigned

Jul 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. William O. Samuels, M.D.

Title

President

Phone

(401) 272-5550

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aleta B Johnson, MSW LICSW

  • Clinical Social Worker
  • Providence, RI
  • NPI 1740495399
  NPD (past)
• Madeline J. Klein, LICSW

  • Clinical Social Worker
  • Providence, RI
  • NPI 1518095165
  NPD (past)
• Thomas J Scaramella, MD

  • Psychiatry Physician
  • Providence, RI
  • NPI 1558489260
  NPD (past)
• Brian Lee Tesar, M.D.

  • Psychiatry Physician
  • Providence, RI
  • NPI 1255390290
  NPD (past)

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279065600000",
    "number": "1912210386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061631",
            "telephone_number": "401-272-5550",
            "fax_number": "401-273-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 HOPE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029061631",
            "telephone_number": "401-272-5550",
            "fax_number": "401-273-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM SAMUELS, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-07-14",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-272-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne L. Wilkin, PH.D.
• Diana Mileidy Wilkins, LCSW
• Megan Wilkins, PT
• Elizabeth Willey, SLP
• William Chen, MD, LLC
• William T. Chen Medical, Inc.
• Anna Darling Williams, M.S. CCC-SLP
• Annie-May Williams, LCSW
• Ashley Jasmine Williams
• Camille K Williams, CNM

• Adult Mental Health Clinic/Center in Providence, RI
• Providers in Providence, RI by specialty
• Adult Mental Health Clinic/Center in Rhode Island

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