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Deactivated NPI 1366631871 Deactivated / Inactive NPI Male Practitioner

Dr. Sam Osherson , PhD

Psychologist • Cambridge, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sam Osherson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 21, 2007
NPI Deactivation Date March 04, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Sam Osherson, PhD was a registered Psychologist practicing in Cambridge, MA. Throughout an active medical career spanning 15 years, Dr. Osherson provided care at the practice location at 263 CONCORD AVE until profile deactivation on 2022-03-04.

Practice Location & Contact Primary Location

Practice Address

263 Concord Ave

Cambridge, MA 021381336

Telephone 6173541330
Associated Practice Facility / Clinic
🏢 Brighter Life Therapy Pllc Facility NPI 1982230280

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Cambridge, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.7 Yrs
State Avg: 32.3 Yrs
Regional Practice Density
197 Specialists

Practicing in Cambridge, MA (2533 Statewide)

Telehealth Adoption Rate
8.1% 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 173

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

11 Associated Practitioners
Dr. Sarah Stewart , PsyD

Psychologist - Clinical

NPI 1063579530

Doctor of Psychology (Psy.D.)

NPI 1184699837

Doctor of Education (Ed.D.)

Angela Winslow

Counselor - Mental Health

NPI 1275283772
Colleen Otto

Counselor - Mental Health

NPI 1316784101
Nan Waldstein , LICSW

Social Worker - Clinical

NPI 1366422412

Licensed Independent Clinical Social Worker

Dr. Elizabeth Call , PsyD

Psychologist - Clinical

NPI 1568601755

Doctor of Psychology (Psy.D.)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 04, 2022

Record deactivated on March 04, 2022

NPI Profile Active October 21, 2007

NPI status registered as active in NPPES database

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Updated Practice Location October 21, 2007

Registered at 263 CONCORD AVE, CAMBRIDGE, MA 021381336 (Tel: 6173541330)

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Updated Business Mailing Address October 21, 2007

Registered at 263 CONCORD AVE, CAMBRIDGE, MA 021381336 (Tel: 6173541330)

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Provider Name / Credentials Updated October 21, 2007

Recorded as SAM OSHERSON, PHD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2007

Psychologist (License #173 in MA)

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Initial NPI Registration & Enumeration October 21, 2007

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: 1366631871
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2007
Last Update: October 21, 2007
Deactivation Date: March 04, 2022

Mailing Address

263 Concord Ave

Cambridge, MA 021381336

Phone: 6173541330

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.