Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376062133 Individual Practitioner Male Practitioner

Dr. Samuel Kwame Dance , PsyD, MBA

Psychologist • Boston, MA

Professional Overview & Biography Verified Profile Summary

Dr. Samuel Dance, PsyD, MBA is a registered healthcare professional specializing in Psychologist in Boston, MA. Practice services are available at 1290 TREMONT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1290 Tremont St
.

Boston, MA 021203432

Telephone 6179893009
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Boston, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.1 Yrs
State Avg: 32.3 Yrs
Regional Practice Density
471 Specialists

Practicing in Boston, MA (2533 Statewide)

Telehealth Adoption Rate
20.0% 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

CMS Verified: 2026-03-24
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MA PSY10000099

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.

Psychologist

NUCC Taxonomy Code: 103T00000X

State License CO PSY.0006989

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.

Practice Associates & Co-Workers

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

12 Associated Practitioners
NPI 1225838576

Doctor of Dental Medicine

Dr. Laurie Martinez Rojas , DMD

Dentist - General Practice

NPI 1548117781

Doctor of Dental Medicine

Foos Omar , NP

Nurse Practitioner - Family

NPI 1629714779

Nurse Practitioner

Rachel Dziedzic , RD, LDN

Dietitian, Registered

NPI 1659761542

Registered Dietitian, Licensed Dietitian Nutritionist

Jade Doolan

Nurse Practitioner

NPI 1659890820
NPI 1689215865

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated March 24, 2026

Recorded as SAMUEL DANCE, PSYD, MBA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2026

Psychologist (License #PSY.0006989 in CO)

NPI Profile Active September 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2017

Registered at 1290 TREMONT ST, ., BOSTON, MA 021203432 (Tel: 6179893009)

📍
Updated Business Mailing Address September 13, 2017

Registered at 1290 TREMONT ST, ROXBURY, MA 021203432 (Tel: 6179893009)

👤
Provider Name / Credentials Updated September 13, 2017

Recorded as SAMUEL DANCE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2017

Counselor

🟢
Initial NPI Registration & Enumeration September 13, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376062133
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2017
Last Update: March 24, 2026
Sole Proprietor: No

Mailing Address

1290 Tremont St

Roxbury, MA 021203432

Phone: 6179893009

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.