Dr. Samuel S Nordberg, PHD
Psychologist, Clinical in Worcester, Massachusetts
1679929004- Practice location
- 5 Neponset St, Worcester, MA 01606-2714
- Phone
- 508-856-0732
- Fax
- 508-425-5126
- Last updated
- April 19, 2019
Samuel Schieffelin Nordberg is a Psychologist, Clinical based in Worcester, MA. Samuel Schieffelin Nordberg practices in Worcester, MA and has the professional credentials of PHD. The NPI Number for Samuel Schieffelin Nordberg is 1679929004 and holds a License No. 10352 (MA). The current practice location address for Samuel Schieffelin Nordberg is 5 Neponset St, Worcester, MA 01606-2714 and can be reached out via phone at 508-856-0732 and via fax at 508-425-5126.
Provider Profile Details
- NPI Number
- 1679929004
- Provider Name
- Samuel Schieffelin Nordberg
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 5 Neponset St, Worcester, MA 01606-2714
- Phone Number
- 508-856-0732
- Fax Number
- 508-425-5126
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 4, 2016
- Last Update Date
- April 19, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 Neponset St
Worcester, MA 01606-2714 - City
- Worcester
- State
- Massachusetts
- Zip
- 01606-2714
- Phone Number
- 508-856-0732
- Fax Number
- 508-425-5126
Provider Business Mailing Address Details
- Address
- 5 Neponset St Fl Street2
Worcester, MA 01606-2714 - City
- Worcester
- State
- MA
- Zip
- 01606-2714
- Phone Number
- 508-368-5532
- Fax Number
- 508-425-5126
License Information
- License Number
- 10352
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Samuel S Nordberg, PHD?
The NPI number of Dr. Samuel S Nordberg, PHD is 1679929004. It was assigned on May 4, 2016 and is currently active in the NPPES registry.
What is the specialty of Dr. Samuel S Nordberg, PHD?
Dr. Samuel S Nordberg, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 10352.
Where does Dr. Samuel S Nordberg, PHD practice?
The practice location is 5 Neponset St, Worcester, MA 01606-2714. The office can be reached at 508-856-0732 (phone) or 508-425-5126 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679929004 directly on the NPPES registry website.