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Search › Massachusetts › Psychiatry

Samuel Jackson

NPI 1255794160 · on the registry since 2016 · sole proprietor

Practice

Address
1 Boston Medical Ctr Pl
Boston, MA 02118
Phone
(617) 414-5245
Organisation at this address
Boston Medical Center
Boston Medical Center
Boston Medical Center
Boston Medical Center
Boston Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
862

Additional practice sites

  • 825 Eastlake Ave E, Seattle, WA

Registry record

Primary taxonomy
Psychiatry
2084P0800X
Also registered as
Psychiatry
Licence states on file
MA, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-10-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts