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DR. CHERYL E SAMUELS PH.D.
NPI 1205042827
Psychologist - Clinical in Ada, MI

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
975 SPAULDING AVE SE STE D, ADA, MI 49301(231) 881-2416 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Cheryl E Samuels Ph.d. NPPES

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

DR. CHERYL E SAMUELS PH.D. (NPI 1205042827) is an individual clinical provider in Ada, Michigan, licensed in Michigan (6301010454) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1997).

NPPES Registry Identity

NPI1205042827
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CHERYL E SAMUELSCredential: PH.D.
Location Address975 SPAULDING AVE SE STE DAda, MI 49301-3776
Mailing AddressPo Box 213Grandville, MI 49468-0213 · (231) 881-2416
Phone(231) 881-2416
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1997
Enumeration DateMay 14, 2007
Last NPPES UpdateDecember 16, 2019
✔ NPI 1205042827 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 MI · 6301010454
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.
975 SPAULDING AVE SE STE D, Ada, MI 49301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Cheryl E Samuels Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062775075
PECOS Enrollment IDI20180404000918
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49301 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
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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

RIVER WAY PSYCHOLOGICAL SERVICES
Psychologist (Clinical)
975 SPAULDING AVE SE STE D
ADA, MI 49301
Kent County (231) 881-2416
NEW REVELATION COUNSELING SERVICE LLC
Community/Behavioral Health
975 SPAULDING AVE SE STE D
ADA, MI 49301
Kent County (616) 888-4353

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 Cheryl Samuels's NPI number?

The NPI number for Cheryl Samuels is 1205042827. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Cheryl Samuels located?

Cheryl Samuels practices at 975 Spaulding Ave SE Ste D, Ada, MI 49301. The listed phone number is (231) 881-2416.

What is Cheryl Samuels's specialty?

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

Is Cheryl Samuels enrolled in Medicare?

Yes. Cheryl Samuels is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cheryl Samuels accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Cheryl Samuels as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cheryl Samuels was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.