Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407932338 Individual Practitioner Male Practitioner

Dr. Samuel Mark Migdole , EdD

Psychologist • Beverly, MA

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Migdole, EdD is a registered healthcare professional specializing in Psychologist in Beverly, MA. Practice services are available at 23 BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

23 Broadway

Beverly, MA 019154417

Telephone 9789222280
Fax 9789271758
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Beverly, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 22.0 Yrs
State Avg: 32.3 Yrs
Regional Practice Density
20 Specialists

Practicing in Beverly, MA (2533 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MA 76

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1302892 (MA)
Commercial Insurance / Payer ID Network Health
97964101 (MA)
Commercial Insurance / Payer ID Tufts
901877 (MA)
Commercial Insurance / Payer ID Blue Cross
WO1232 (MA)
Commercial Insurance / Payer ID Mhn
096083 (MA)
Commercial Insurance / Payer ID Beacon
1010630 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jeremiah Brown

Student in an Organized Health Care Education/Training Program

NPI 1013830355
NPI 1023682689

Master of Science

Charles Mellinger , MSW, LICSW

Counselor - Mental Health

NPI 1033295944

Master of Social Work, Licensed Independent Clinical Social Worker

Richa Sharma

Student in an Organized Health Care Education/Training Program

NPI 1043901614
Hannah Leclerc , LICSW

Counselor - Mental Health

NPI 1043942352

Licensed Independent Clinical Social Worker

Anna Samkavitz , MA

Counselor - Mental Health

NPI 1073290359

Master of Arts

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 23 BROADWAY, BEVERLY, MA 019154417 (Tel: 9789222280)

📍
Updated Business Mailing Address July 08, 2007

Registered at 23 BROADWAY, BEVERLY, MA 019154417 (Tel: 9789222280)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SAMUEL MIGDOLE, ED.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Psychologist (License #76 in MA)

🟢
Initial NPI Registration & Enumeration October 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Samuel Migdole. Be the first to share your experience!

Sign in to leave a review for Dr. Samuel Migdole

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1407932338
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

23 Broadway

Beverly, MA 019154417

Phone: 9789222280

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.