Jeffrey Samelson
PHD | Psychologist | 48+ years Exp
104 Woodland Ct Ste B, Michigan City
Indiana, 46360-7391
219-628-6463 219-628-6463
Maps & DirectionsJeffrey Samelson is a Michigan City, Indiana based psychologist with 48 years of experience in General Psychology. He completed his graduation in 1977. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jeffrey Samelson is 20010303A for Clinical Psychology in Indiana. His current practice location is 104 Woodland Ct Ste B, Michigan City. Patients can reach him at 219-628-6463 or can fax him at 219-628-6463. Jeffrey Samelson is PHD in General Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1801866223.
Jeffrey Samelson is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, he performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. He can diagnose and treat 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 by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Jeffrey Samelson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jeffrey Samelson |
| Specialization: | General Psychology |
| Gender: | Male |
| Credentials: | PHD |
| Experience: | 48+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1977 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 104 Woodland Ct Ste B, Michigan City, Indiana, 46360-7391 |
| Phone: | 219-628-6463 |
| Fax: | 219-628-6463 |
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: | 1759354251 |
| Enrollment ID: | I20040813000494 |
| NPI Number: | 1801866223 |
| NPI Enumeration Date: | 26 Jan, 2006 |
| NPI Last Update On: | 07 Mar, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jeffrey Samelson are as mentioned below.
| License Number | Specialization | State | Status | |
| 20010303A | Clinical Psychology | Indiana | Primary | |
| 20010303A | General Psychology | Indiana | Secondary | |
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 Jeffrey Samelson is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Sacks Clinical Consulting, Pc (9335320134) | 2 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jeffrey Samelson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100162900 | Medicaid | Indiana | |
| P00616032 | Other | | RR MEDICARE |
| 000000347073 | Other | Indiana | ANTHEM |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jeffrey Samelson 1225 E Coolspring Ave, Michigan City, Indiana |
| Zip: | 46360-6312 |
| Phone Number: | 219-873-2964 |
| Fax Number: | 219-873-2933 |
Patients can reach Jeffrey Samelson at
104 Woodland Ct Ste B, Michigan City, Indiana or can
call to book an appointment on 219-628-6463.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.