Summit Psychological Services, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

34473 Issued in TX

Legal business name

SUMMIT PSYCHOLOGICAL SERVICES, PLLC

Practice address

1810 Shiloh Rd
Suite 801
Tyler, TX 75703-2419

Phone

(903) 954-0605

Fax

(903) 534-6518

NPI assigned

Oct 6, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Charlotte Lea Rhyne, PH.D.

Title

Licensed Psychologist

Phone

(903) 954-0605

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1114236288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1488 COUNTY ROAD 3807",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757576808",
            "telephone_number": "903-954-0605",
            "fax_number": "903-534-6518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 SHILOH RD",
            "address_2": "SUITE 801",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757032419",
            "telephone_number": "903-954-0605",
            "fax_number": "903-534-6518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "RHYNE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "903-954-0605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34473",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34473",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Tyler, TX
• Providers in Tyler, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.