IndividualActive
Samuel Oldham, PSYD
NPI 1043517089 · Clinical Psychologist · Moody Afb, GA
Samuel Oldham, PSYD is a Clinical Psychologist provider in Moody Afb, GA (NPI 1043517089).
Provider details
- NPI number
- 1043517089
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- No
- License
- 1980 (AL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3278 Mitchell Blvd
Moody Afb, GA 31699-1500
Phone: (229) 257-2778
Approximate (ZIP-level) locationGet directions
Mailing address
3278 Mitchell Blvd
Moody Afb, GA 31699-1500
Registry dates
- Enumerated
- 2011-02-25
- Last updated
- 2025-06-23
- Certified
- 2025-06-23
Frequently asked questions
- What is Samuel Oldham's NPI number?
- Samuel Oldham's National Provider Identifier (NPI) is 1043517089, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Oldham's specialty?
- Samuel Oldham is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Samuel Oldham located?
- Samuel Oldham's practice location on file with NPPES is 3278 Mitchell Blvd, Moody Afb, GA 31699-1500.
- What is Samuel Oldham's phone number?
- The practice phone number listed in the NPPES registry for Samuel Oldham is (229) 257-2778.
- Is Samuel Oldham's NPI active?
- Yes — Samuel Oldham's NPI (1043517089) is active in the NPPES registry as of the last update on 2025-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.