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DR. JACQUELINE ANNE SAMSON PH.D.
NPI 1467454652
Psychologist - Cognitive & Behavioral in Belmont, MA

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
115 MILL ST, BELMONT, MA 02478(617) 855-3348(617) 855-2936 Get Directions Write a Review

NPPES record last updated: July 9, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jacqueline Anne Samson Ph.d. NPPES

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

DR. JACQUELINE ANNE SAMSON PH.D. (NPI 1467454652) is an individual cognitive & behavioral provider in Belmont, Massachusetts, licensed in Massachusetts (4522) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1467454652
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameDR. JACQUELINE ANNE SAMSONCredential: PH.D.
Location Address115 MILL STBelmont, MA 02478-1041
Mailing Address115 Mill StBelmont, MA 02478-1041 · (617) 855-3348 · Fax (617) 855-2936
Phone(617) 855-3348
Fax(617) 855-2936
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateJune 1, 2005
Last NPPES UpdateJuly 9, 2010
✔ NPI 1467454652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in MA · 4522
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
Also ListedPsychologistTaxonomy 103T00000X · License 4522 (MA)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 4522 (MA)
115 MILL ST, Belmont, MA 02478
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Other Names 1

Other Name (5)Ms. Jacqueline Anne Samson-jain

Other Identifiers 5

OtherW05381MA · Blue Cross Blue Shield
Other01950MA · Value Options
Other1858807MA · Masshealth
Medicare ID-Type UnspecifiedW05381MA
Other001458MA · Harvard Pilgrim Health Ca

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care.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. Jacqueline Anne Samson 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 ID8426174822
PECOS Enrollment IDI20100922001108
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.

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.

KATY TARELLA LICSW
Social Worker (Clinical)
115 MILL ST, MAILSTOP 137
BELMONT, MA 02478
Middlesex County (617) 855-4178
EVAN D MURRAY MD
Psychiatry & Neurology (Neurology)
115 MILL ST, MCLEAN HOSPITAL
BELMONT, MA 02478
Middlesex County (617) 855-2354
MIQVEH STEINHART
Social Worker (Clinical)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3118
DANIELLE PACE PSYD
Psychologist (Clinical)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-2000
DR. MARNI JOY CHANOFF MD
Psychiatry & Neurology (Psychiatry)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3937
DR. NANCY ANN HUXLEY PH.D.
Psychologist (Clinical)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3645
JOAN MARTHA COTTLER LICSW
Social Worker (Clinical)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3623
PROF. BRUCE MICHAEL COHEN M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
115 MILL ST
BELMONT, MA 02478
Middlesex County (617) 855-3227

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 Jacqueline Samson's NPI number?

The NPI number for Jacqueline Samson is 1467454652. It was assigned to this individual provider in the NPPES registry on June 1, 2005. The provider is also known as Ms. Jacqueline Anne Samson-Jain.

Where is Jacqueline Samson located?

Jacqueline Samson practices at 115 Mill St, Belmont, MA 02478. The listed phone number is (617) 855-3348.

What is Jacqueline Samson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Jacqueline Samson enrolled in Medicare?

Yes. Jacqueline Samson 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 Jacqueline Samson accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Jacqueline Samson 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 Jacqueline Samson was last updated on July 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.