Jeffrey Samelson, PHD
NPI 1801866223ActiveIndividual· Psychologist, Clinical· Michigan City, IN
Psychologist, Clinical (PHD) with Sacks Clinical Consulting, PC, practicing in Michigan City, Indiana. Medicare paid $7,920 for services to 19 patients in 2024.
Overview
| NPI | 1801866223 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | No |
| NPI issued | Jan 26, 2006 |
| Last updated in NPPES | Mar 7, 2024 |
| Certified by provider | Mar 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 20010303A | IN |
| Psychologist | 103T00000X | 20010303A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 19 |
|---|---|
| Services billed | 89 across 7 procedure codes |
| Paid by Medicare | $7,920 |
Education and affiliations
| Graduation year | 1977 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Sacks Clinical Consulting, PCMichigan City, IN · 2 clinicians
Other clinical psychologists in Michigan City
- 1174897003
- 1548595796
- 1457429722
- 1265595854
- 1447348651
- 1063483758
- 1912590381