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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. SAMUEL ROBERT STORK PSY.D
NPI 1295459485
Psychologist - Clinical in South Windsor, CT

Active since September 30, 2022
18 ROCKWELL CT, SOUTH WINDSOR, CT 06074(860) 251-9816 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 1, 2026, Sep 30, 2022 (2 updates tracked since 2022).

About Dr. Samuel Robert Stork Psy.d NPPES

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

DR. SAMUEL ROBERT STORK PSY.D (NPI 1295459485) is an individual clinical provider in South Windsor, Connecticut, licensed in Utah (12453627-2501) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1295459485
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SAMUEL ROBERT STORKCredential: PSY.D
Location Address18 ROCKWELL CTSouth Windsor, CT 06074-6901
Mailing Address18 Rockwell CtSouth Windsor, CT 06074-6901 · (860) 251-9816
Phone(860) 251-9816
Sole ProprietorNo
Enumeration DateSeptember 30, 2022
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1295459485 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 UT · 12453627-2501
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.
18 ROCKWELL CT, South Windsor, CT 06074
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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.

ASPEN GROVE PSYCHOLOGICAL SERVICES, PLLC
Psychologist (Clinical)
18 ROCKWELL CT
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 251-9316
LAUREN SIMICICH
Psychologist (Clinical)
18 ROCKWELL CT
SOUTH WINDSOR, CT 06074
Capitol Planning Region (860) 251-9887

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 Samuel Stork's NPI number?

The NPI number for Samuel Stork is 1295459485. It was assigned to this individual provider in the NPPES registry on September 30, 2022.

Where is Samuel Stork located?

Samuel Stork practices at 18 Rockwell Ct, South Windsor, CT 06074. The listed phone number is (860) 251-9816.

What is Samuel Stork's specialty?

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

When was this NPI record last updated?

The NPPES record for Samuel Stork was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.