DR. MONICA KRISTIN SAMELSON MD
NPI 1003279464
Psychiatry & Neurology - Psychiatry in Chicago, IL

Active since April 03, 2016Opted out of Medicare · through Aug 3, 2028
1806 W CUYLER AVE STE 103, CHICAGO, IL 60613(206) 558-5495 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 31, 2026, Aug 5, 2020, Apr 3, 2016 (3 updates tracked since 2016).

About Dr. Monica Kristin Samelson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MONICA KRISTIN SAMELSON MD (NPI 1003279464) is an individual psychiatry provider in Chicago, Illinois, licensed in Illinois (036.163441) and active in the NPI registry since April 2016. She has opted out of Medicare through August 3, 2028.

NPPES Registry Identity

NPI1003279464
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MONICA KRISTIN SAMELSONCredential: MD
Location Address1806 W CUYLER AVE STE 103Chicago, IL 60613-2541
Mailing Address1806 W Cuyler Ave Ste 103Chicago, IL 60613-2541 · (206) 558-5495
Sole ProprietorYes
Enumeration DateApril 3, 2016
Last NPPES UpdateJuly 31, 20263 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
✔ NPI 1003279464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in IL · 036.163441✔ Licensed in WA · MD60978381✔ Licensed in CA · 183790
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1806 W CUYLER AVE STE 103, Chicago, IL 60613

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Monica Kristin Samelson Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 3, 2020 through August 3, 2028.

Opt-Out Effective DateAugust 3, 2020
Opt-Out In Effect ThroughAugust 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monica Samelson's NPI number?

The NPI number for Monica Samelson is 1003279464. It was assigned to this individual provider in the NPPES registry on April 3, 2016.

Where is Monica Samelson located?

Monica Samelson practices at 1806 W Cuyler Ave Ste 103, Chicago, IL 60613. The listed phone number is (206) 558-5495.

What is Monica Samelson's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Monica Samelson enrolled in Medicare?

No. Monica Samelson has opted out of Medicare through August 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Monica Samelson was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.