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DIANA SAMUEL M.D.
NPI 1669791554
Psychiatry & Neurology - Psychiatry in New York, NY

Active since May 18, 2010Opted out of Medicare · through Oct 1, 2027
1790 BROADWAY FL 7, NEW YORK, NY 10019(646) 828-7753 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2021, Apr 30, 2018 (2 updates tracked since 2018).

About Diana Samuel M.d. NPPES

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

DIANA SAMUEL M.D. (NPI 1669791554) is an individual psychiatry provider in New York, New York, licensed in New York (263572) and active in the NPI registry since May 2010. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1669791554
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDIANA SAMUELCredential: M.D.
Location Address1790 BROADWAY FL 7New York, NY 10019-1412
Mailing Address1790 Broadway Fl 7New York, NY 10019-1412 · (646) 828-7753
Phone(646) 828-7753
Sole ProprietorYes
Enumeration DateMay 18, 2010
Last NPPES UpdateApril 15, 20212 updates tracked since enumeration
NPPES CertifiedApril 15, 2021
✔ NPI 1669791554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 263572
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1790 BROADWAY FL 7, New York, NY 10019
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Diana Samuel M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2021 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2021
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

ADAM SANDS MD
Psychiatry & Neurology (Psychiatry)
1790 BROADWAY FL 7
NEW YORK, NY 10019
New York County (212) 305-6001
EVAN T BURDETTE PHD
Psychologist
1790 BROADWAY FL 7
NEW YORK, NY 10019
New York County (212) 342-3800
NATHAN JOB LOWRY
Psychologist (Cognitive & Behavioral)
1790 BROADWAY FL 7
NEW YORK, NY 10019
New York County (212) 342-3800
DR. ELIZABETH HALLIDAY SESSA
Psychologist (Clinical)
1790 BROADWAY FL 7
NEW YORK, NY 10019
New York County (212) 305-6001

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 Diana Samuel's NPI number?

The NPI number for Diana Samuel is 1669791554. It was assigned to this individual provider in the NPPES registry on May 18, 2010.

Where is Diana Samuel located?

Diana Samuel practices at 1790 Broadway Fl 7, New York, NY 10019. The listed phone number is (646) 828-7753.

What is Diana Samuel's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Diana Samuel enrolled in Medicare?

No. Diana Samuel has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Diana Samuel was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.