Samuel Albert, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP1718 Issued in MN

Practice address

1700 Highway 36 W
Suite 516
Roseville, MN 55113-4034

Phone

(651) 631-1090

Fax

(612) 926-7178

NPI assigned

Feb 23, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Albert and Associates

  dba Samuel Albert

  • Psychologist
  • Roseville, MN
  • NPI 1073669313
  NPD (past) Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962538264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 SAINT PAUL AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164344",
            "telephone_number": "612-925-2037",
            "fax_number": "612-926-7178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 HIGHWAY 36 W",
            "address_2": "SUITE 516",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134034",
            "telephone_number": "651-631-1090",
            "fax_number": "612-926-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERT",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP1718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie M Ahrens, DO
• Richard N. Aizpuru, MD
• Ahmad Al-Samaraee, M.D.
• Jose A Alba Hernandez, PT, DPT
• Albert and Associates (Samuel Albert)
• Ashlee Alberts, RD, LD, LMFT
• Samuel Robert Alexander, DC, LN
• Siobhan Esther Alexander, M.D.
• Azhar T. Ali, MBBS
• Nimco Abdi Ali

• Clinical Psychologist in Roseville, MN
• Providers in Roseville, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.