Nicole Summers, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071010763 Issued in IL

Practice address

900 Skokie Blvd Ste 270
Northbrook, IL 60062-4012

Phone

(847) 933-9339

NPI assigned

Sep 12, 2019

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1043860034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 270",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624012",
            "telephone_number": "847-933-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SKOKIE BLVD STE 270",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624012",
            "telephone_number": "847-933-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071010763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter V Stupnitsky, DDS
• Joyous Subade, FNP-C
• Suh New Hope Clinics,LTD.
• Savannah Mae Sullivan, PA-C
• Jennifer Lee Summers-Lemoine
• Suncloud Health
• Suncrest Hospice Illinois LLC (Suncrest Hospice)
• Debra Clare Sundblad, MSW, LCSW
• Sunshine Infusion Services Inc (BioMatrix Specialty Pharmacy I)
• Klara Suparman

• Clinical Psychologist in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.