Samuel Jackson is a Boston, Massachusetts based psychiatrist with 9 years of experience in Psychiatry. He completed his graduation in 2016. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Samuel Jackson is 1023020 for Psychiatry in Massachusetts. His current practice location is 1 Boston Medical Ctr Pl, Boston. Patients can reach him at 617-414-5245. Samuel Jackson NPI number (Unique professional ID assigned by NPPES) is 1255794160. Samuel Jackson specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Complete Profile:
Samuel Jackson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Samuel Jackson
Specialization:
Psychiatry
Gender:
Male
Experience:
9+ years
Medical School Attended:
Other
Graduation Year:
2016
Accepts Medicare Assignment:
Yes
Practice Address:
1 Boston Medical Ctr Pl, Boston, Massachusetts, 02118-2908
Phone:
617-414-5245
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
7012209471
Enrollment ID:
I20210712001340
NPI Number:
1255794160
NPI Enumeration Date:
30 Mar, 2016
NPI Last Update On:
03 Oct, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samuel Jackson are as mentioned below.
License Number
Specialization
State
Status
1023020
Psychiatry
Massachusetts
Primary
MD61035793
Psychiatry
Washington
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(070022)
New haven, CT
Acute Care Hospital
(500064)
Seattle, WA
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Samuel Jackson is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Yale University (9436061736)
2122
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Samuel Jackson 960 Massachusetts Ave Ste 2, Boston, Massachusetts
Zip:
02118-2690
Patients can reach Samuel Jackson at 1 Boston Medical Ctr Pl, Boston, Massachusetts or can call to book an appointment on 617-414-5245.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.