DR. MICHAEL SUMMERLIN PH.D.
NPI 1083745152
Psychologist - Clinical in Orange, CA

Active since March 08, 2007PECOS EnrolledAccepts Medicare Assignment
1940 W ORANGEWOOD AVE, STE. 105, ORANGE, CA 92868(714) 494-1867 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Michael Summerlin Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL SUMMERLIN PH.D. (NPI 1083745152) is an individual clinical provider in Orange, California, licensed in California (PSY28000) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1083745152
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHAEL SUMMERLINCredential: PH.D.
Location Address1940 W ORANGEWOOD AVE, STE. 105Orange, CA 92868-2009
Mailing Address1940 W Orangewood Ave, Ste. 105Orange, CA 92868-2009 · (714) 494-1867
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 8, 2007
Last NPPES UpdateJune 7, 2016
NPI 1083745152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY28000
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 43233 (CA)
1940 W ORANGEWOOD AVE, Orange, CA 92868

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Summerlin Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244514966
PECOS Enrollment IDI20170224001010
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1940 W ORANGEWOOD AVE, SUITE 101
ORANGE, CA 92868
Hearing Instrument Specialist
1940 W ORANGEWOOD AVE, STE 110
ORANGE, CA 92868

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083745152, enumerated as an "individual" on March 08, 2007.

The provider is located at 1940 W ORANGEWOOD AVE STE. 105 ORANGE, CA 92868 and the phone number is (714) 494-1867.

Psychologist with taxonomy code 103TC0700X and a focus in Clinical.