JACQUELINE ANNE SAMSON Ph.D., NPI 1467454652
Psychologist in BELMONT, MA
Last Updated on : Jul 09,2010
About JACQUELINE ANNE SAMSON (NPI 1467454652)
JACQUELINE ANNE SAMSON is a Psychologist provider in BELMONT, United States. Her medical specialization is Psychologist with a focus in Cognitive & Behavioral.
1467454652 is NPI number of JACQUELINE ANNE SAMSON.
JACQUELINE ANNE SAMSON's primary taxonomy code based on NPI Lookup is 103TB0200X with license number 4522. This taxonomy code refers to Psychologist.
JACQUELINE ANNE SAMSON has more than 17 years of experience.
JACQUELINE ANNE SAMSON current practice location address is 115 MILL ST, BELMONT, MA. JACQUELINE ANNE SAMSON can be reached out via phone at 617-855-3348 and via fax at 617-855-2936 .
You can also correspond with JACQUELINE ANNE SAMSON through mail at mailing address 115 MILL ST, BELMONT, MA, United States. Mailing address contact number is 617-855-3348.
The enumeration date of JACQUELINE ANNE SAMSON is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 13 years ago.1467454652 NPI Information
Basic NPI information of JACQUELINE ANNE SAMSON (NPI 1467454652) is provided below.
| Name | JACQUELINE ANNE SAMSON |
|---|---|
| National Provider Id (NPI) | 1467454652 |
| Entity Type | Individual |
| Gender | F |
| Credential | Ph.D. |
| Practice Address | 115 MILL ST,
BELMONT, MA, United States |
| Practice Telephone | 617-855-3348 |
| Practice Fax Number | 617-855-2936 |
| Mailing Address | 115 MILL ST ,
BELMONT, MA, United States |
| Mailing Telephone | 617-855-3348 |
| Mailing Fax Number | 617-855-2936 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 09-Jul-2010 |
JACQUELINE ANNE SAMSON (NPI 1467454652) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 103TB0200X | Psychologist, Cognitive & Behavioral | 4522 | MA |
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
JACQUELINE ANNE SAMSON (NPI 1467454652) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 103TC0700X | Psychologist, Clinical | 4522 | MA |
| N | 103T00000X | Psychologist | 4522 | MA |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 001458 | Other (non-Medicare) (01) | MA | harvard pilgrim health ca |
| 01950 | Other (non-Medicare) (01) | MA | value options |
| 1858807 | Other (non-Medicare) (01) | MA | masshealth |
| W05381 | Other (non-Medicare) (01) | MA | blue cross blue shield |
JACQUELINE ANNE SAMSON (NPI 1467454652) Office Location
Office location of JACQUELINE ANNE SAMSON is provided in the Google maps below.Providers in same location
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| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1740559400 | 42 NORTH DENTAL CARE, LLC | Clinic/Center, Dental | 200 5TH AVE FL 3,
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| 1902257470 | 42 NORTH DENTAL CARE, PLLC | Clinic/Center, Dental | 14 BISHOP RD,
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| 1427554906 | A ARORA DENTAL PC | Dentist, General Practice | 1 TWIN PINES LN STE 125,
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| 1932716958 | A HELPING HAND HOME CARE, LLC | In Home Supportive Care | PO BOX 464,
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| 1962688630 | SUSAN KAY AALSBURG | Social Worker, Clinical | 5663 VERTA DR NE,
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| 1679630735 | MICHAEL AARON | Chiropractor | 2100 CARLMONT DR STE 3,
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| 1962285197 | SHERI ABBEY | Case Manager/Care Coordinator | 7 COURT ST RM 30,
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| 1023367430 | ABBY C BLOWE DDS PA | Dentist | 8024 WATER VIEW DRIVE,
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30-Aug-2012 |
| 1588207021 | ELIZA ABDU-GLASS | Student in an Organized Health Care Education/Training Program | 4 BRYANT RD,
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28-Oct-2019 |
| 1093063372 | ANGELA H ABERNETHY | Physical Therapist | 1100 BLYTHE BLVD,
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17-Aug-2012 |
| 1740835776 | CHARLOTTE A ABIEZZI | Behavior Technician | 2625 LINCOLN AVE,
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| 1205120938 | MARTIN ABRAHAM | Pharmacist | 8708 ELLINGTON PARK DR,
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| 1376147066 | SNEHA ABRAHAM | Pharmacist | 375 ACORN PARK DR APT 4105,
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| 1659916302 | ABUNDANCE THERAPY LLC | Home Health | 24 SHADY COVE EXT,
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| 1205018462 | ACCORD CORPORATION | Case Management | 84 SCHUYLER ST,
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| 1699972034 | MARA ACEL-GREEN | Social Worker, Clinical | 1387 WASHINGTON ST,
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| 1114274396 | REBECA FLETES ACERET | Marriage & Family Therapist | 31 TOWER ROAD,
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07-Aug-2012 |
| 1073654190 | SARAH ACKERMAN | Psychologist, Clinical | 76 BRANTWOOD RD,
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09-Feb-2007 |
| 1538509849 | EMILY LYNN ADAMS | Physician Assistant, Medical | 100 LEXINGTON ST,
APT B8 BELMONT, MA, United States |
01-Jul-2013 |
| 1902338486 | LESLIE MCCUTCHAN ADAMS | Pharmacist | 20 HAYDON CT,
BELMONT, CA, United States |
03-Apr-2017 |
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FAQs
Whose NPI Number is 1467454652?1467454652 is the NPI number of JACQUELINE ANNE SAMSON.
What is the specialty for JACQUELINE ANNE SAMSON?The Specialty of JACQUELINE ANNE SAMSON is Psychologist.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
|