DR. JACQUELINE ANNE SAMSON PH.D. NPI 1467454652

NPI Information

NPI: 1467454652
Provider Name: DR. JACQUELINE ANNE SAMSON, PH.D.
Classification: Psychologist - 103TB0200X
Specialization: Cognitive & Behavioral
Entity Type: Individual
PECOS Registration: Yes
Address: 115 MILL ST
BELMONT, MA
ZIP 02478
Phone: (617) 855-3348

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NPI Details

DR. Jacqueline Anne Samson, PH.D. is a cognitive and behavioral psychologist in Belmont, MA with 43 years of experience. The provider is 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. DR. Jacqueline Anne Samson, PH.D. NPI is 1467454652. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

115 MILL ST
BELMONT, MA
ZIP 02478-041
Phone: (617) 855-3348
Fax: (617) 855-2936

The NPI 1467454652 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 6/1/2005 and was last updated on 7/9/2010.

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	103TC0700X	Psychologist	Clinical	4522	MASSACHUSETTS	No
2	103T00000X	Psychologist		4522	MASSACHUSETTS	No
3	103TB0200X	Psychologist	Cognitive & Behavioral	4522	MASSACHUSETTS	Yes

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	W05381	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
2	01950	OTHER	MASSACHUSETTS	VALUE OPTIONS
3	1858807	OTHER	MASSACHUSETTS	MASSHEALTH
4	W05381	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS
5	001458	OTHER	MASSACHUSETTS	HARVARD PILGRIM HEALTH CA

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: 11/21/2025

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