Individual provider · Type 1 NPI

Emily Samuel, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · La Jolla, CA

NPI number 1639549447 Active

Practice location

888 Prospect St Ste 200
La Jolla, CA 92037-4261

Fax (415) 376-4529

Other practice locations

  • 1390 Market St Ste 200, San Francisco, CA 94102-5404 · (415) 849-2466

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X95003214 (CA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1639549447

Emily Samuel, PMHNP-BC's National Provider Identifier is 1639549447, issued on Oct 6, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in La Jolla, CA. The record was last updated on Nov 26, 2025.