MR. SAMUEL MARK MIGDOLE ED.D
NPI 1407932338
Psychologist in Beverly, MA

Active since October 31, 2006
23 BROADWAY, BEVERLY, MA 01915(978) 922-2280(978) 927-1758 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Samuel Mark Migdole Ed.d NPPES

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

MR. SAMUEL MARK MIGDOLE ED.D (NPI 1407932338) is an individual psychologist in Beverly, Massachusetts, licensed in Massachusetts (76) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1407932338
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMR. SAMUEL MARK MIGDOLECredential: ED.D
Location Address23 BROADWAYBeverly, MA 01915-4417
Mailing Address23 BroadwayBeverly, MA 01915-4417 · (978) 922-2280 · Fax (978) 927-1758
Fax(978) 927-1758
Sole ProprietorYes
Enumeration DateOctober 31, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1407932338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 76
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
23 BROADWAY, Beverly, MA 01915

Other Identifiers 8

Other97964101MA · Network Health
Medicare ID-Type UnspecifiedWO1232MA
Medicaid1302892MA
Other1010630MA · Beacon
Other096083MA · Mhn
Other901877MA · Tufts
OtherWO1232MA · Blue Cross
Medicare UPINWO1232MA

Other Providers at the Same Location NPPES 6

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

Counselor (Mental Health)
23 BROADWAY
BEVERLY, MA 01915
Counselor (Mental Health)
23 BROADWAY
BEVERLY, MA 01915
Social Worker (Clinical)
23 BROADWAY
BEVERLY, MA 01915
Counselor (Mental Health)
23 BROADWAY
BEVERLY, MA 01915
Counselor (Mental Health)
23 BROADWAY
BEVERLY, MA 01915
Counselor (Mental Health)
23 BROADWAY
BEVERLY, MA 01915

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 Migdole's NPI number?

The NPI number for Samuel Migdole is 1407932338. It was assigned to this individual provider in the NPPES registry on October 31, 2006.

Where is Samuel Migdole located?

Samuel Migdole practices at 23 Broadway, Beverly, MA 01915. The listed phone number is (978) 922-2280.

What is Samuel Migdole's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Samuel Migdole was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.