OLIVIA SUMMA M.A.
NPI 1538774880
Psychologist - Clinical in Newark, OH

Q: What is Olivia Summa's NPI number?

The NPI number for Olivia Summa is 1538774880. It was assigned to this individual provider in the NPPES registry on September 14, 2020.

Q: What is Olivia Summa's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Olivia Summa was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 14, 2020PECOS EnrolledAccepts Medicare Assignment

68 W CHURCH ST STE 318, NEWARK, OH 43055(505) 699-8962 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 17, 2024, Jul 21, 2021, Sep 14, 2020 (3 updates tracked since 2020).

On this page

About Olivia Summa M.a. NPPES

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

OLIVIA SUMMA M.A. (NPI 1538774880) is an individual clinical provider in Newark, Ohio, licensed in New Mexico (PSY-2023-0077) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lawrence, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1538774880

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameOLIVIA SUMMACredential: M.A.

Location Address68 W CHURCH ST STE 318Newark, OH 43055-5050

Mailing Address3304 James StSanta Fe, NM 87507-5019 · (505) 699-8962

Phone(505) 699-8962

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 14, 2020

Last NPPES UpdateJune 25, 20263 updates tracked since enumeration

NPPES CertifiedJune 25, 2026

✔ NPI 1538774880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in NM · PSY-2023-0077✔ Licensed in OH · P.08638

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.

68 W CHURCH ST STE 318, Newark, OH 43055

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Secondary Practice Location 1

Location 1430 N Canal StLawrence, MA 01840-1246 · Phone (978) 327-6600

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Olivia Summa M.a. 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 ID6507206190

PECOS Enrollment IDI20240430002383

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.

Medicare Billing Reassignments

Medicare enrollment records show Olivia Summa reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mid-Ohio Psychological Services Inc

26 mi

Counselor

106 STARRET ST STE 100
Lancaster, OH 43130

Reassigned Medicare billing, Ohio enrollment
18 clinicians in this Medicare group

NPI 1699749457 (740) 687-0042

Copper Cloud Psychotherapy, LLC

1,321 mi

Mental Health (Including Community Mental Health Center)

3304 JAMES ST
Santa Fe, NM 87507

Reassigned Medicare billing, New Mexico enrollment

NPI 1689451098 (505) 699-8962

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43055 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 12

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

MS. TERESA A. KEY-PICIUCCO PYSCH ASSISTANT

Counselor