MS. JACQUELINE SAMUELS (NPI# 1548443898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548443898 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE SAMUELS |
| Credential | CASAC |
| Practice Address |
106 Vineyard Ave Highland NY 12528-1422 |
| Practice Telephone | 8456475400 |
| Practice Fax Number | 8456475419 |
| Mailing Telephone | 8456475400 |
| Mailing Fax Number | 8456475419 |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2007-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
18806 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366423444 | Jacqueline J Samuels | Dentist | 120 Alcott Pl, Ground Floor, Bronx, NY 10475-4201 | 2005-11-07 |
| Street Address |
106 VINEYARD AVE |
| City | HIGHLAND |
| State | NY |
| Zip Code | 12528-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417959099 | Child & Family Guidance Center Center Addiction Services, Inc. | Clinic/Center | 106 Vineyard Ave, Highland, NY 12528-1422 | 2005-08-12 |
| 1578106878 | Gabrielle Phillips | Counselor | 106 Vineyard Ave, Highland, NY 12528-1422 | 2019-10-21 |
| 1740823046 | Pamela Zino | Registered Nurse | 106 Vineyard Ave, Highland, NY 12528-1422 | 2019-10-21 |
| 1659914950 | Kasey Ramoth | Counselor | 106 Vineyard Ave, Highland, NY 12528-1422 | 2019-10-21 |
| 1407499700 | Rebeca Freyre | Counselor | 106 Vineyard Ave, Highland, NY 12528-1422 | 2019-10-21 |
| 1316580616 | Angela Gastio | Counselor | 106 Vineyard Ave, Highland, NY 12528-1422 | 2019-10-21 |
| 1134762438 | Sara Gurevich | Social Worker | 106 Vineyard Ave, Highland, NY 12528-1422 | 2019-10-21 |
| 1043853344 | Lauren Widmark | Counselor | 106 Vineyard Ave, Highland, NY 12528-1422 | 2019-10-21 |
| 1689217986 | Meaghan Hughes | Counselor | 106 Vineyard Ave, Highland, NY 12528-1422 | 2019-10-21 |
| 1124661426 | Sade Barksdale | Art Therapist | 106 Vineyard Ave, Highland, NY 12528-1422 | 2019-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372292 | Kate Shults Dammer | Physical Therapist | 280 Rout 299, Suite 1, Highland, NY 12528 | 2020-10-06 |
| 1477194074 | Natalee R Riley | Licensed Practical Nurse | 6 Commercial Ave Apt C, Highland, NY 12528 | 2019-10-04 |
| 1982185930 | Giselle Marietta Colaco | Physical Therapist | Wingate At Ulster, One Wingate Way, Highland, NY 12528 | 2018-08-28 |
| 1083085237 | Alyssa D'alto | Speech-Language Pathologist | 16 Lockhart Lane, Highland, NY 12528 | 2015-10-14 |
| 1689071953 | Althea P. Milton | Social Worker | 15 Oak Crest Drive, Highland, NY 12528 | 2014-12-02 |
| 1295079267 | Colleen P. Mcguigan | Licensed Practical Nurse | 3 Cusa Dr, Highland, NY 12528 | 2012-11-15 |
| 1982984068 | Elizabeth Anne Troicke | Licensed Practical Nurse | 500 Rt 299, Unite 22c, Highland, NY 12528 | 2011-08-22 |
| 1801055272 | Kenneth David Schappe | Massage Therapist | 280 State Route 299, Suite #2, Highland, NY 12528 | 2008-06-02 |
| 1780758870 | Michele Kee Goldman | Nurse Practitioner | 514 Route 299, Highland, NY 12528 | 2006-11-20 |
| 1023192770 | Tami L Pucino | Nurse Practitioner | 3548 Us Highway 9w, Highland, NY 12528 | 2006-10-25 |
| Find all providers in zip 12528 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881007631 | Thomas Fraze | Counselor | 9340 Saric Dr, Highland, IN 46322-2941 | 2014-06-10 |
| 1700297827 | Natasha Christiane Gerren | Counselor | 29334 Silverfern Place, Highland, CA 92346 | 2014-05-12 |
| 1619229317 | Cleotis White | Counselor | 2646 Highway Ave Ste 108, Highland, IN 46322 | 2012-10-05 |
| 1033314539 | Arthur Williams | Counselor | 3654 Highland Ave, Suite 23 & 24, Highland, CA 92346-2614 | 2007-06-15 |
| 1679782270 | Susana L Alvarado | Counselor | 3654 Highland Ave Ste 23-24, Highland, CA 92346-2614 | 2007-05-21 |
| 1497889927 | Susan Marie Gill | Counselor | 2178 Pine Bluffs Ct, Highland, MI 48357-4328 | 2007-03-15 |
| 1356471221 | Vista Guidance Centers, Inc. | Counselor | 3654 Highland Ave Ste 24, Highland, CA 92346-2614 | 2007-03-07 |
| 1861592248 | Anne Marie Nocerino | Counselor | 106 Vineyard Avenue, Highland, NY 12528-1422 | 2006-09-25 |
| 1659914950 | Kasey Ramoth | Counselor | 106 Vineyard Ave, Highland, NY 12528-1422 | 2019-10-21 |
| 1407499700 | Rebeca Freyre | Counselor | 106 Vineyard Ave, Highland, NY 12528-1422 | 2019-10-21 |
| Find all providers in HIGHLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.