Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jacqueline Anne Samson, PHD

Individual provider Cognitive & Behavioral Psychologist · NPI 1467454652

Dr. Jacqueline Anne Samson, PHD is a Clinical Psychologist in Belmont, Massachusetts. Qualified in 1983, 43 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
43
Licensed in
MA
In the registry since
2005
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

115 Mill St
Belmont, MA 02478-1041
Phone: (617) 855-3348
Fax: (617) 855-2936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cognitive & Behavioral Psychologist (primary) Taxonomy 103TB0200X · Licence 4522 (MA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 4522 (MA)
Psychologist Taxonomy 103T00000X · Licence 4522 (MA)

Record details

NPI number1467454652
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 1, 2005
Last updated in NPPESJuly 9, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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