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Danielle Sample

Psychologist β€’ Canton, MA

Active NPI 1043887359 Individual Practitioner Female Practitioner
Practice location in NPPES

793 Washington St
Canton, MA 020213023

Call 7812059304 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

793 Washington St

Canton, MA 020213023

Telephone 7812059304

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Canton and Massachusetts

9 active clinicians are listed under Psychologist with a practice address in Canton, MA (2,367 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-21
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 21, 2023

Registered at 793 WASHINGTON ST, CANTON, MA 020213023 (Tel: 7812059304)

πŸ“
Updated Business Mailing Address November 21, 2023

Registered at 793 WASHINGTON ST, CANTON, MA 020213023 (Tel: 7812059304)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2023

Psychologist

βœ…
NPI Profile Active June 06, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 06, 2021

Registered at 37 N BROADWAY ST, AKRON, OH 443081910 (Tel: 3305358181)

πŸ“
Business Mailing Address (Initial Record) June 06, 2021

Registered at 5802 FOREST XING, ERIE, PA 165067004 (Tel: 8144030728)

πŸ‘€
Provider Name / Credentials (Initial Record) June 06, 2021

Recorded as DANIELLE SAMPLE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration June 06, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043887359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2021
Last Update: November 21, 2023
Sole Proprietor: No

Mailing Address

793 Washington St

Canton, MA 020213023

Phone: 7812059304

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.