BENJAMIN SAMUEL
NPI 1730930819
Psychologist - Exercise & Sports in Leesburg, VA

Q: What is Benjamin Samuel's NPI number?

The NPI number for Benjamin Samuel is 1730930819. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Q: What is Benjamin Samuel's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Exercise & Sports, with taxonomy code 103TE1100X.

Q: When was this NPI record last updated?

The NPPES record for Benjamin Samuel was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 28, 2024

1308 BARKSDALE DR NE, LEESBURG, VA 20176(571) 528-9278 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Benjamin Samuel NPPES

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

BENJAMIN SAMUEL (NPI 1730930819) is an individual exercise & sports provider in Leesburg, Virginia and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1730930819

Entity TypeIndividualMale

Primary Taxonomy103TE1100X

Provider Legal NameBENJAMIN SAMUEL

Location Address1308 BARKSDALE DR NELeesburg, VA 20176-4904

Mailing Address1308 Barksdale Dr NeLeesburg, VA 20176-4904

Phone(571) 528-9278

Sole ProprietorYes

Enumeration DateMarch 28, 2024

NPPES CertifiedMarch 28, 2024

✔ NPI 1730930819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Exercise & SportsBehavioral Health & Social Service Providers

Taxonomy Code103TE1100X

Definition

A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists.

1308 BARKSDALE DR NE, Leesburg, VA 20176

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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 Benjamin Samuel's NPI number?

The NPI number for Benjamin Samuel is 1730930819. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Where is Benjamin Samuel located?

Benjamin Samuel practices at 1308 Barksdale Dr NE, Leesburg, VA 20176. The listed phone number is (571) 528-9278.

What is Benjamin Samuel's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Exercise & Sports, with taxonomy code 103TE1100X.

When was this NPI record last updated?

The NPPES record for Benjamin Samuel was last updated on March 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.