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SAMUEL FOGARTY
NPI 1790495026
Counselor - Mental Health in New York, NY

Active since November 28, 2022
74 BROAD ST FL 3, NEW YORK, NY 10004(646) 449-0491 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 28, 2025, Nov 28, 2022 (2 updates tracked since 2022).

About Samuel Fogarty NPPES

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

SAMUEL FOGARTY (NPI 1790495026) is an individual mental health provider in New York, New York, licensed in New York (015317) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1790495026
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAMUEL FOGARTY
Location Address74 BROAD ST FL 3New York, NY 10004-2298
Mailing Address1050 Lafayette Ave Apt 12Brooklyn, NY 11221-3036
Phone(646) 449-0491
Sole ProprietorYes
Enumeration DateNovember 28, 2022
Last NPPES UpdateMay 28, 20252 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1790495026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 015317
74 BROAD ST FL 3, New York, NY 10004
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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.

MELANIE GRACE CANASTRA LMHC
Counselor (Mental Health)
74 BROAD ST FL 3
NEW YORK, NY 10004
New York County (646) 449-0491
DANIELLE RENAE ROBBINS
Counselor (Mental Health)
74 BROAD ST FL 3
NEW YORK, NY 10004
New York County (516) 744-0076
ASHLEY JAYDA BETHEA LMHC
Counselor (Mental Health)
74 BROAD ST FL 3
NEW YORK, NY 10004
New York County (917) 277-0161
MISHIKO C FLORES LMHC
Counselor (Mental Health)
74 BROAD ST FL 3
NEW YORK, NY 10004
New York County (646) 449-0491

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 Fogarty's NPI number?

The NPI number for Samuel Fogarty is 1790495026. It was assigned to this individual provider in the NPPES registry on November 28, 2022.

Where is Samuel Fogarty located?

Samuel Fogarty practices at 74 Broad St Fl 3, New York, NY 10004. The listed phone number is (646) 449-0491.

What is Samuel Fogarty's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Samuel Fogarty was last updated on May 28, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.