STACEY A SUMMERS NPI 1023290236

Psychologist in Philadelphia, PA

NPI 1023290236 Individual Female Psychologist PECOS Enrolled

About STACEY SUMMERS

Stacey Summers is a provider established in Philadelphia, Pennsylvania and her medical specialization is psychologist. The NPI number of Stacey Summers is 1023290236 and was assigned on November 2007. The practitioner's primary taxonomy code is 103T00000X with license number PS015838 (PA). The provider is registered as an individual and her NPI record was last updated February 2021.

A psychologist like Stacey A Summers studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

Stacey Summers is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

Stacey Summers is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1023290236

Provider Name STACEY A SUMMERS
Provider Location Address1601 WALNUT ST STE 1017 PHILADELPHIA, PA 19102
Provider Mailing Address1601 WALNUT ST STE 1017 PHILADELPHIA, PA 19102
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-29-2007
Last Update Date02-18-2021


Primary Taxonomy

Taxonomy Code103T00000X
ClassificationPsychologist
TypeBehavioral Health & Social Service Providers
License No.PS015838
License StatePA
Taxonomy DescriptionA psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of 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; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Business Address

STACEY A SUMMERS
1601 WALNUT ST STE 1017
PHILADELPHIA, PA
ZIP 19102
Phone: (215) 564-0488
Fax: (215) 564-1245

Get Directions


Mailing Address

STACEY A SUMMERS
1601 WALNUT ST STE 1017
PHILADELPHIA, PA
ZIP 19102
Phone: (215) 564-0488
Fax: (215) 564-1245



Secondary Locations

815 Chester Pike
Prospect Park, PA 19076
(973) 264-0023

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)No
Eligible order / refer Power Mobility DevicesNo

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
1017489680001MEDICAID (05)PA

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538108741MS. CYNTHIA H. JONES LPC, NCC, BC-DTR
Individual
Counselor (Professional)1601 WALNUT ST STE 1017
PHILADELPHIA, PA 19102
(267) 225-0289
1699371419 TARA GRAVITT LCSW, CAADC, CCM
Individual
Social Worker (Clinical)1601 WALNUT ST STE 1017
PHILADELPHIA, PA 19102
(267) 308-4303
1932799954 MAI SPANN-WILSON LSW
Individual
Counselor (Mental Health)1601 WALNUT ST STE 1017
PHILADELPHIA, PA 19102
(215) 564-0488

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.