DR. SAMUEL SCHIEFFELIN NORDBERG PH.D.
NPI 1679929004
Psychologist - Clinical in Worcester, MA

Q: What is Samuel Nordberg's NPI number?

The NPI number for Samuel Nordberg is 1679929004. It was assigned to this individual provider in the NPPES registry on May 4, 2016.

Q: What is Samuel Nordberg'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 Nordberg was last updated on April 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 04, 2016PECOS EnrolledAccepts Medicare Assignment

5 NEPONSET ST, WORCESTER, MA 01606(508) 856-0732(508) 425-5126 Get Directions Write a Review

NPPES record last updated: April 19, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Samuel Schieffelin Nordberg Ph.d. NPPES

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

DR. SAMUEL SCHIEFFELIN NORDBERG PH.D. (NPI 1679929004) is an individual clinical provider in Worcester, Massachusetts, licensed in Massachusetts (10352) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1679929004

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SAMUEL SCHIEFFELIN NORDBERGCredential: PH.D.

Location Address5 NEPONSET STWorcester, MA 01606-2714

Mailing Address5 Neponset St Fl Street2Worcester, MA 01606-2714 · (508) 368-5532 · Fax (508) 425-5126

Phone(508) 856-0732

Fax(508) 425-5126

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateMay 4, 2016

Last NPPES UpdateApril 19, 2019

✔ NPI 1679929004 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 MA · 10352

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.

5 NEPONSET ST, Worcester, MA 01606

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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. Samuel Schieffelin Nordberg 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 ID3577857085

PECOS Enrollment IDI20160805001618

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01606 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

$177.36 typical visit price

range $58.86 – $177.36

Typical copayment $44.34 (range $14.71 – $44.34)

Most-billed visit code 99205

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

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.

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