BRADLEY SUMMERS-JOHNSON
NPI 1154787687
Psychologist in Fort Liberty, NC

Active since January 13, 2016
2817 ROCK MERRITT AVE, FORT LIBERTY, NC 28310(910) 907-8922(910) 907-6069 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 3, 2021, Jan 13, 2016 (2 updates tracked since 2016).

About Bradley Summers-johnson NPPES

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

BRADLEY SUMMERS-JOHNSON (NPI 1154787687) is an individual psychologist in Fort Liberty, North Carolina, licensed in Washington (PY60981886) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1154787687
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameBRADLEY SUMMERS-JOHNSON
Location Address2817 ROCK MERRITT AVEFort Liberty, NC 28310-2697
Mailing Address11022 Dean Ct SwLakewood, WA 98498-3732 · (503) 801-9259
Fax(910) 907-6069
Sole ProprietorNo
Enumeration DateJanuary 13, 2016
Last NPPES UpdateJanuary 29, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2025
NPI 1154787687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY60981886
Definition
A 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.
2817 ROCK MERRITT AVE, Fort Liberty, NC 28310

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
2817 ROCK MERRITT AVE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Physical Therapist (Sports)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physical Therapist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Specialist/Technologist (Athletic Trainer)
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Physician Assistant
2817 ROCK MERRITT AVE
FORT LIBERTY, NC 28310
Dentist
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310
Student in an Organized Health Care Education/Training Program
2817 ROCK MERRITT AVE
FORT BRAGG, NC 28310

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Summers-johnson's NPI number?

The NPI number for Bradley Summers-johnson is 1154787687. It was assigned to this individual provider in the NPPES registry on January 13, 2016.

Where is Bradley Summers-johnson located?

Bradley Summers-johnson practices at 2817 Rock Merritt Ave, Fort Liberty, NC 28310. The listed phone number is (910) 907-8922.

What is Bradley Summers-johnson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Bradley Summers-johnson was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.