Summer L Ibarra, PH.D.

Primary specialty

Rehabilitation PsychologistTaxonomy code 103TR0400X

License

20042730A Issued in IN

Practice address

5230 E Stop 11 Rd Ste 350
Indianapolis, IN 46237-6402

Phone

(317) 783-8383

NPI assigned

Aug 1, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Indiana Neuropsychology Group LLCGroup PAC ID 5799168506, 11 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.

• Indiana Neuropsychology Group LLC

  • Clinical Neuropsychologist
  • Carmel, IN
  • NPI 1790411130
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1053743088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10293 N MERIDIAN ST",
            "address_2": "STE 210",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901079",
            "telephone_number": "317-581-2292",
            "fax_number": "317-581-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 E STOP 11 RD STE 350",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462376402",
            "telephone_number": "317-783-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBARRA",
        "first_name": "SUMMER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "IN",
            "license": "20042730A",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "IN",
            "license": "99058381A",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "IN",
            "license": "20042730A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000863597",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• I. C. Pain Solutions, PC
• Arielle E Iafrate, PA-C
• Nicholas Stephen Iannazzo, DO
• Vlad D Ianus, MD
• Miguel Angel Ibarra Lopez, MD
• Stephanie Ibaven, PHARMD
• Ibis Counseling and Consulting PC
• Sara Ibrahim-Shaikh
• Amdaway Ibrahim, LCSW
• Ashley Anne Ibrahim, M.D.

• Rehabilitation Psychologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Rehabilitation Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2020; 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.