Individual provider Active NPI

Sumer S Aeed, EDD

  • Psychologist
  • Scottsdale, AZ
National Provider Identifier
1073622601
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3443 Issued in AZ
Practice address
7010 E Acoma Dr
Suite A203
Scottsdale, AZ 85254-3553
Phone
(480) 607-1022
Fax
(480) 367-1160
NPI assigned
Aug 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3443 AZ Primary

Addresses

Primary practice location

7010 E Acoma Dr
Suite A203
Scottsdale, AZ 85254-3553

Mailing address

PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20040508000298 AZ Practitioner - Clinical Psychologist 7113915414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7010 E Acoma Dr
Suite A203
Scottsdale, AZ 85254-3553
Phone (480) 607-1022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sumer Statler Aeed, LLC Psychologist CurrentSince Jan 18, 2009 Accepting new patients

Locations

6116 E Arbor Ave
Ste 112
Mesa, AZ 85206

13943 N 91st Ave
Ste F101
Peoria, AZ 85381
Phone (623) 900-2929

2632 N 20th St
Phoenix, AZ 85006
Phone (602) 264-6281

11000 N Scottsdale Rd
Scottsdale, AZ 85254
Phone (480) 551-3400

7010 E Acoma Dr
Ste A203
Scottsdale, AZ 85254
Phone (480) 607-1022

11000 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85254
Phone (480) 661-7453

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1073622601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7732",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 E ACOMA DR",
            "address_2": "SUITE A203",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543553",
            "telephone_number": "480-607-1022",
            "fax_number": "480-367-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AEED",
        "first_name": "SUMER",
        "middle_name": "S",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.