DR. WAYNE D SAMUELSON PHD
NPI 1821068966
Psychologist - Clinical in Fargo, ND

Q: What is Wayne Samuelson's NPI number?

The NPI number for Wayne Samuelson is 1821068966. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Q: What is Wayne Samuelson'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 Wayne Samuelson was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 January 23, 2006

1351 PAGE DR S STE 105, FARGO, ND 58103(701) 893-3419 Get Directions Write a Review

NPPES record last updated: November 7, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Wayne D Samuelson Phd NPPES

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

DR. WAYNE D SAMUELSON PHD (NPI 1821068966) is an individual clinical provider in Fargo, North Dakota, licensed in North Dakota (75) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1821068966

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. WAYNE D SAMUELSONCredential: PHD

Location Address1351 PAGE DR S STE 105Fargo, ND 58103-3536

Mailing Address1351 Page Dr S Ste 105Fargo, ND 58103-3536 · (701) 893-3419

Phone(701) 893-3419

Sole ProprietorNo

Enumeration DateJanuary 23, 2006

Last NPPES UpdateNovember 7, 2007

✔ NPI 1821068966 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 ND · 75

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.

1351 PAGE DR S STE 105, Fargo, ND 58103

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Other Identifiers 1

Medicare UPINS67133

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 Wayne Samuelson's NPI number?

The NPI number for Wayne Samuelson is 1821068966. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Wayne Samuelson located?

Wayne Samuelson practices at 1351 Page Dr S Ste 105, Fargo, ND 58103. The listed phone number is (701) 893-3419.

What is Wayne Samuelson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Wayne Samuelson was last updated on November 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.