DR. SAM VICKERY PH.D.
NPI 1710439591
Marriage & Family Therapist in Riverside, CA

Q: What is Sam Vickery's NPI number?

The NPI number for Sam Vickery is 1710439591. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Q: What is Sam Vickery's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Sam Vickery was last updated on October 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 27, 2016

5015 CANYON CREST DR STE 112, RIVERSIDE, CA 92507(951) 781-0510(951) 784-7711 Get Directions Write a Review

NPPES record last updated: October 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Sam Vickery Ph.d. NPPES

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

DR. SAM VICKERY PH.D. (NPI 1710439591) is an individual marriage & family therapist in Riverside, California, licensed in California (LMFT14375) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1710439591

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameDR. SAM VICKERYCredential: PH.D.

Location Address5015 CANYON CREST DR STE 112Riverside, CA 92507-6020

Mailing Address5015 Canyon Crest Dr Ste 112Riverside, CA 92507-6020 · (951) 781-0510 · Fax (951) 784-7711

Phone(951) 781-0510

Fax(951) 784-7711

Sole ProprietorYes

Enumeration DateOctober 27, 2016

✔ NPI 1710439591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · LMFT14375

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

5015 CANYON CREST DR STE 112, Riverside, CA 92507

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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 Sam Vickery's NPI number?

The NPI number for Sam Vickery is 1710439591. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Where is Sam Vickery located?

Sam Vickery practices at 5015 Canyon Crest Dr Ste 112, Riverside, CA 92507. The listed phone number is (951) 781-0510.

What is Sam Vickery's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Sam Vickery was last updated on October 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.