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SAMUEL JOSEPH PULLEN DO
NPI 1689874968
Psychiatry & Neurology - Psychiatry in Winston Salem, NC

Active since July 24, 2007
140 KIMEL PARK DR STE 200, WINSTON SALEM, NC 27103(336) 718-7250(336) 718-7260 Get Directions Write a Review

NPPES record last updated: April 19, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Joseph Pullen Do NPPES

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

SAMUEL JOSEPH PULLEN DO (NPI 1689874968) is an individual psychiatry provider in Winston Salem, North Carolina, licensed in North Carolina (2020-00356) and active in the NPI registry since July 2007. He maintains a secondary practice location in Twin Falls.

NPPES Registry Identity

NPI1689874968
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSAMUEL JOSEPH PULLENCredential: DO
Location Address140 KIMEL PARK DR STE 200Winston Salem, NC 27103-6185
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(336) 718-7250
Fax(336) 718-7260
Sole ProprietorNo
Enumeration DateJuly 24, 2007
Last NPPES UpdateApril 19, 2022
NPPES CertifiedApril 19, 2022
✔ NPI 1689874968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in NC · 2020-00356✔ Licensed in MN · 51241
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 ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 2020-00356 (NC)
140 KIMEL PARK DR STE 200, Winston Salem, NC 27103
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Secondary Practice Location 1

Location 1414 Shoup Ave W, Suite BTwin Falls, ID 83301-5042 · Phone (208) 814-9100 · Fax (208) 814-9903

Other Identifiers 1

Medicaid1689874968ID

Other Providers at the Same Location NPPES 17

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

KEREN HAPPUCH WILLIAMS LCMHC
Counselor (Mental Health)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7250
MS. LINDA FAYE KINLEY LCSW
Social Worker (Clinical)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7250
MS. AMBER SMOOT KELLEY LPC
Counselor (Mental Health)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7250
MISS NOVIA CHANTEL STEVENSON LCSWA, LCASR
Social Worker (Clinical)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7250
NOVANT HEALTH MEDICAL GROUP, LLC
Psychiatry & Neurology (Psychiatry)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (704) 316-7585
DR. ANDREW STEPHEN MOLITORIS DO
Psychiatry & Neurology (Psychiatry)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7250
DR. TIFFINI ANNE SHELDON-MORRIS PSY.D.
Psychologist
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (336) 718-7250
NOVANT MEDICAL GROUP INC
Psychiatry & Neurology (Psychiatry)
140 KIMEL PARK DR STE 200
WINSTON SALEM, NC 27103
Forsyth County (844) 266-8268

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 Pullen's NPI number?

The NPI number for Samuel Pullen is 1689874968. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Where is Samuel Pullen located?

Samuel Pullen practices at 140 Kimel Park Dr Ste 200, Winston Salem, NC 27103. The listed phone number is (336) 718-7250.

What is Samuel Pullen's specialty?

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

When was this NPI record last updated?

The NPPES record for Samuel Pullen was last updated on April 19, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.