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

Samuel Davidson

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1831885615

Samuel Davidson is a Nurse Practitioner in Waltham, Massachusetts. Qualified in 2023, 3 years ago. Practices with Pratt Medical Group Inc, a 277-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

6 Lexington St Ste 300
Waltham, MA 02452-4401
Phone: (978) 662-1002
Fax: (978) 767-4757
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 115 Mill St, Belmont, MA 02478-1048 — (617) 855-3280

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2338730 (MA)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN2338730 (MA)

Record details

NPI number1831885615
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 13, 2023
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025
Mailing address6 Lexington St, Waltham, MA 02452-4401

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Pratt Medical Group Inc — 277 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waltham