SAMUEL A WOLDE
NPI 1275173536
Psychologist - Clinical in Houston, TX

Q: What is Samuel Wolde's NPI number?

The NPI number for Samuel Wolde is 1275173536. It was assigned to this individual provider in the NPPES registry on January 14, 2020.

Q: What is Samuel Wolde's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samuel Wolde was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 January 14, 2020PECOS EnrolledAccepts Medicare Assignment

92.35/100

CMS Quality Rating

4635 SOUTHWEST FWY STE 635, HOUSTON, TX 77027(713) 850-0049 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 9, 2022, Jan 14, 2020 (2 updates tracked since 2020).

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About Samuel A Wolde NPPES

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

SAMUEL A WOLDE (NPI 1275173536) is an individual clinical provider in Houston, Texas, licensed in Texas (39274) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1275173536

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSAMUEL A WOLDE

Location Address4635 SOUTHWEST FWY STE 635Houston, TX 77027-7112

Mailing Address10428 W Colter StGlendale, AZ 85307-4195 · (720) 226-7900

Phone(713) 850-0049

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 14, 2020

Last NPPES UpdateSeptember 9, 20222 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2022

✔ NPI 1275173536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TX · 39274

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 18390

4635 SOUTHWEST FWY STE 635, Houston, TX 77027

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Cigna Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel A Wolde 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 ID9739503426

PECOS Enrollment IDI20200728003004, I20220726002953

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.

Medicare Billing Reassignments

Medicare enrollment records show Samuel Wolde reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Deer Oaks Geriatric Services P C

189 mi

Clinical

7272 WURZBACH RD, SUITE 706
San Antonio, TX 78240

Reassigned Medicare billing, Texas enrollment
296 clinicians in this Medicare group

NPI 1134169287 (210) 615-3405

Step Up Care PC LLC

1,557 mi

Counselor

111 WESTCOTT RD
Danielson, CT 06239

Reassigned Medicare billing, Connecticut enrollment
390 clinicians in this Medicare group

NPI 1154884740 (718) 298-4375

Supportive Care I Of Rhode Island PC

1,580 mi

Clinical

17 ADELPHI AVE
Providence, RI 02906

Reassigned Medicare billing, Rhode Island enrollment
95 clinicians in this Medicare group

NPI 1912666454 (718) 298-4375

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

1,705 services787 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

609 services601 patients

Psychotherapy, 30 minutes 90832

193 services65 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

168 services61 patients

Psychotherapy, 45 minutes 90834

140 services36 patients

Psychiatric diagnostic evaluation 90791

131 services125 patients

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

74 services37 patients

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

37 services28 patients

Evaluation of neuropsychological test, first hour 96132

An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.

37 services37 patients

Psychotherapy, 1 hour 90837

34 services21 patients

Administration of psychological or neuropsychological test, first 30 minutes 96136

This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.

31 services31 patients

Evaluation of psychological test, first hour 96130

This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.

15 services15 patients

Administration of psychological or neuropsychological test, each additional 30 minutes 96137

This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77027 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

$176.98 typical visit price

range $58.24 – $176.98

Typical copayment $44.24 (range $14.56 – $44.24)

Most-billed visit code 99205

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

Cost

62.75

Other Providers at the Same Location NPPES 20

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

MS. LORI L DOWNS LPC

Counselor (Professional)