Jeremy Cummings, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY 9400 Issued in FL

Practice address

203 Avenue a NW Ste 300
Winter Haven, FL 33881-4540

Phone

(863) 299-7787

Fax

(863) 299-7757

NPI assigned

Oct 5, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heartland Community Church IncGroup PAC ID 2466885090, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heartland Community Church, Inc.

  • Psychologist
  • Winter Haven, FL
  • NPI 1063937845
  Medicare reassignment Care Compare group NPD
• New Directions Counseling Center LLC

  • Counseling Psychologist
  • Lakeland, FL
  • NPI 1427318799
  NPD (past)
• Nurse on Call, LLC

  • Home Health Agency
  • PT Charlotte, FL
  • NPI 1891747952
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1003366832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 AVENUE A NW STE 300",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814540",
            "telephone_number": "863-299-7787",
            "fax_number": "863-299-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 AVENUE A NW STE 300",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814540",
            "telephone_number": "863-299-7787",
            "fax_number": "863-299-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "JEREMY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-05",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY 9400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond Cruz Molina, COTA/L
• Jose Gilberto Cruz, D.D.S.
• Yonnar Cruz, MS, LMHC, CAP
• CTC'S Heart of Caring, Inc
• Jasmine Cummings
• Jessica Cupull Franqui
• Jerrid Currey
• Latoya Curtis
• Nicholas Bernard Cusmano, MD
• Thomas Burgess Cuttino, LMHC

• Psychologist in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.