DR. DOMINIQUE SAMUELS PSYD
NPI 1154638583
Psychologist - Clinical in San Francisco, CA

Q: What is Dominique Samuels's NPI number?

The NPI number for Dominique Samuels is 1154638583. It was assigned to this individual provider in the NPPES registry on September 7, 2010.

Q: What is Dominique Samuels's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Dominique Samuels enrolled in Medicare?

No. Dominique Samuels has opted out of Medicare through December 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Dominique Samuels was last updated on September 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.

Active since September 07, 2010Opted out of Medicare · through Dec 26, 2026

1738 UNION ST, SAN FRANCISCO, CA 94123(415) 218-5454 Get Directions Write a Review

NPPES record last updated: September 7, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Dominique Samuels Psyd NPPES

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

DR. DOMINIQUE SAMUELS PSYD (NPI 1154638583) is an individual clinical provider in San Francisco, California, licensed in California (PSY23442) and active in the NPI registry since September 2010. She has opted out of Medicare through December 26, 2026.

NPPES Registry Identity

NPI1154638583

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DOMINIQUE SAMUELSCredential: PSYD

Location Address1738 UNION STSan Francisco, CA 94123-4441

Mailing Address44 Ashbury StSan Francisco, CA 94117-1208 · (415) 218-5454

Phone(415) 218-5454

Sole ProprietorYes

Enumeration DateSeptember 7, 2010

✔ NPI 1154638583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY23442

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1738 UNION ST, San Francisco, CA 94123

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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. Dominique Samuels Psyd 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 December 26, 2024 through December 26, 2026.

Opt-Out Effective DateDecember 26, 2024

Opt-Out In Effect ThroughDecember 26, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARIA TIA HOLDEN PSYD

Psychologist

1738 UNION ST
SAN FRANCISCO, CA 94123

San Francisco County (415) 215-2847

DR. JUSTINE BYK PSY.D.

Psychologist (Clinical)

1738 UNION ST, SUITE 200
SAN FRANCISCO, CA 94123

San Francisco County (303) 506-2501

DR. LYNN BYK PH.D.

Psychologist (Clinical)

1738 UNION ST, SUITE 200
SAN FRANCISCO, CA 94123

San Francisco County (415) 931-3079

DR. NAVNEET KAUR GILL PSY.D.

Clinical Neuropsychologist

1738 UNION ST, SUITE 202
SAN FRANCISCO, CA 94123

San Francisco County (415) 728-9505

DR. JOAN DEMARTINI WARREN PSY.D.

Psychologist (Clinical)

1738 UNION ST
SAN FRANCISCO, CA 94123

San Francisco County (415) 441-1678

MARCIA SARA NADEL MFT

Marriage & Family Therapist

1738 UNION ST, SUITE 300
SAN FRANCISCO, CA 94123

San Francisco County (415) 509-6612

SUSAN WOOLLEY LEVINE PHD

Clinical Neuropsychologist

1738 UNION ST, SUITE 202
SAN FRANCISCO, CA 94123

San Francisco County (415) 820-3925

DR. KIRK JACK SCHNEIDER PHD

Psychologist (Clinical)

1738 UNION ST
SAN FRANCISCO, CA 94123

San Francisco County (415) 567-5021

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 Dominique Samuels's NPI number?

The NPI number for Dominique Samuels is 1154638583. It was assigned to this individual provider in the NPPES registry on September 7, 2010.

Where is Dominique Samuels located?

Dominique Samuels practices at 1738 Union St, San Francisco, CA 94123. The listed phone number is (415) 218-5454.

What is Dominique Samuels's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Dominique Samuels enrolled in Medicare?

No. Dominique Samuels has opted out of Medicare through December 26, 2026. 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 Dominique Samuels was last updated on September 7, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.