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

Individual provider Mental Health Counselor · NPI 1710439591

Dr. Sam Vickery, PHD is a Mental Health Counselor in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
2
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

5015 Canyon Crest Dr Ste 112
Riverside, CA 92507-6020
Phone: (951) 781-0510
Fax: (951) 784-7711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT14375 (CA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1710439591
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 27, 2016
Last updated in NPPESOctober 27, 2016

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