DR. SEAN ERIC SAMUELS PSY.D. NPI 1215969514

NPI Information

NPI: 1215969514
Provider Name: DR. SEAN ERIC SAMUELS, PSY.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
4545 S 86TH ST
LINCOLN, NE
ZIP 68526
Phone: (402) 483-6990
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DR. Sean Eric Samuels, PSY.D. is a clinical neuropsychologist in Lincoln, NE. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Sean Eric Samuels, PSY.D. NPI is 1215969514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4545 S 86TH ST
LINCOLN, NE
ZIP 68526-227
Phone: (402) 483-6990
Fax: (402) 483-7045

The enumeration date for this NPI number is 7/7/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		624	NEBRASKA	Yes
2	103T00000X	Psychologist		624	NEBRASKA	X
3	103TC0700X	Psychologist	Clinical	624	NEBRASKA	X
4	103TF0200X	Psychologist	Forensic	624	NEBRASKA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	470798717-27	MEDICAID	NEBRASKA
2	246565	OTHER	NEBRASKA	MIDLANDS CHOICE
3	10024969000	MEDICAID	NEBRASKA
4	470798717-26	MEDICAID	NEBRASKA
5	279234	MEDICARE ID-TYPE UNSPECIFIED	NEBRASKA	PROVIDER NUMBER
6	10024968900	MEDICAID	NEBRASKA
7	Q49303	MEDICARE UPIN	NEBRASKA
8	470798717-29	MEDICAID	NEBRASKA
9	D80001	OTHER	NEBRASKA	BCBS
10	47079871700	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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