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Active NPI 1821068966 Individual Practitioner Male Practitioner

Dr. Wayne D Samuelson , PhD

Psychologist - Clinical • Fargo, ND

Professional Overview & Biography Verified Profile Summary

Dr. Wayne Samuelson, PhD is a registered healthcare professional specializing in Psychologist - Clinical in Fargo, ND. Practice services are available at 1351 PAGE DR S STE 105 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1351 Page Dr S Ste 105

Fargo, ND 581033536

Telephone 7018933419
Associated Practice Facility / Clinic
🏢 Carita R Shawchuck Phd Pc Facility NPI 1871650267

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Fargo, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
27 Specialists

Practicing in Fargo, ND (120 Statewide)

Telehealth Adoption Rate
18.5% 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 - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License ND 75

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 07, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 07, 2007

Registered at 1351 PAGE DR S STE 105, FARGO, ND 581033536 (Tel: 7018933419)

📍
Updated Business Mailing Address November 07, 2007

Registered at 1351 PAGE DR S STE 105, FARGO, ND 581033536 (Tel: 7018933419)

👤
Provider Name / Credentials Updated November 07, 2007

Recorded as WAYNE SAMUELSON, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2007

Psychologist (License #75 in ND)

🟢
Initial NPI Registration & Enumeration January 23, 2006

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: 1821068966
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2006
Last Update: November 07, 2007
Sole Proprietor: No

Mailing Address

1351 Page Dr S Ste 105

Fargo, ND 581033536

Phone: 7018933419

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.