Samuel I Samuel, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

165035 Issued in CA

Practice address

1519 Constitution Blvd Apt 201
Salinas, CA 93906-3150

Phone

(865) 765-8224

NPI assigned

Mar 1, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CA, AZ3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Psychiatry

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Strategies for Success Consulting, PCGroup PAC ID 6406154129, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Strategies for Success Consulting, PC

  • Clinical Social Worker
  • Chandler, AZ
  • NPI 1306196878
  Medicare reassignment Care Compare group NPD
• Del Sur Healthcare

  • Geriatric Medicine (Internal Medicine) Physician
  • El Cajon, CA
  • NPI 1891515953
  Medicare reassignment NPD
• Senior Medical Associates, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1629253505
  Medicare reassignment NPD
• Claxton-Hepburn Medical Center

  • Psychiatric Hospital
  • Ogdensburg, NY
  • NPI 1891753034
  Medicare reassignment NPD
• Vitalis Wellness Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Salinas, CA
  • NPI 1013523174
  NPD Authorized official
• Vitalis Wellness Center of Phoenix, Az PC

  • Brain Injury Medicine (Psychiatry & Neurology) Physician
  • Mesa, AZ
  • NPI 1497421101
  NPD
• Georgia Department of Human Resources

  • Psychiatric Hospital
  • Columbus, GA
  • NPI 1144224767
  NPD (past)
• Strategies for Success Consulting, PC

  • Multi-Specialty Clinic/Center
  • Chandler, AZ
  • NPI 1144833369

  Adolescent and Children Mental Health

  NPD (past)
• Tucson Counseling PLLC

  • Community/Behavioral Health Agency
  • Tucson, AZ
  • NPI 1740529460
  NPD (past)
• Tucson Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tucson, AZ
  • NPI 1285473249
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1992833099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6250",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939126250",
            "telephone_number": "865-765-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 CONSTITUTION BLVD APT 201",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939063150",
            "telephone_number": "865-765-8224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Northside Xing",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312102252",
            "country_code": "US",
            "telephone_number": "478-474-6584",
            "fax_number": "478-474-6585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Northside Xing",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312102252",
            "country_code": "US",
            "telephone_number": "478-474-6584",
            "fax_number": "478-474-6585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Chimney Point Dr",
            "address_purpose": "LOCATION",
            "city": "Ogdensburg",
            "state": "NY",
            "postal_code": "136692212",
            "country_code": "US",
            "telephone_number": "541-541-2001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 N Wilmot Rd Ste A200",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857124416",
            "country_code": "US",
            "telephone_number": "520-873-8562 x3",
            "fax_number": "888-851-7021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "SAMUEL",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0301X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
            "state": "GA",
            "license": "56360",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "165035",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "GA",
            "license": "56360",
            "primary": false
        },
        {
            "code": "2084P0301X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": "CA",
            "license": "165035",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "165035",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "GA",
            "license": "56360",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "165035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Christina Samaro
• Susan Lee Samaro I, BH CASE AIDE
• Olga Samokhvalova
• Amanda Sampaolo
• Justin Tyler Sampaolo
• Lucia Daniela Sanabria
• Sanborn Pharmacy, Inc
• Xochitl Ereny Sanchez Camargo
• Jorge Sanchez Islas
• Arturo Sanchez Martinez, CCHW

• Psychiatry Physician in Salinas, CA
• Providers in Salinas, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.