NPIMap

Organization Active NPI

Summit Psychological Associates, Inc.

  • Clinical Psychologist
  • Akron, OH
National Provider Identifier
1114976701
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0529 Issued in OH
Legal business name
SUMMIT PSYCHOLOGICAL ASSOCIATES, INC.
Practice address
37 N Broadway St
Akron, OH 44308-1910
Phone
(330) 535-8181
Fax
(330) 535-9336
NPI assigned
May 9, 2006
Last updated
Nov 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Mrs. Rachel E. Wade
Title
Director of Operations
Phone
(330) 535-8181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 0529 OH Primary

Addresses

Primary practice location

37 N Broadway St
Akron, OH 44308-1910

Mailing address

37 N Broadway St
Akron, OH 44308-1910
Phone (330) 535-8181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031124000007 OH Part B Supplier - Clinic/Group Practice 4082518857 Receives reassigned benefits from 15 practitioners
Practice locations: Akron, OH; Canton, OH; Ravenna, OH

National Provider Directory

National Provider Directory
Tax ID family
Summit County Psychological4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

80 S Summit St
Ste 210
Akron, OH 44308
Phone (330) 535-8181

90 N Summit St
Akron, OH 44308
Phone (234) 571-9110

4450 Belden Village St NW
Ste 7
Canton, OH 44718
Phone (330) 493-2554

4450 Belden Village St NW
Ste 701
Canton, OH 44718
Phone (330) 493-2554

320 E Main St
Ste 207
Ravenna, OH 44266
Phone (330) 296-3700

6693 N Chestnut St
Ste 235
Ravenna, OH 44266
Phone (330) 296-3700

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/summit-psychological/r4/

Practitioners & affiliated clinicians

Practitioners 61

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 61

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1114976701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 N BROADWAY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081910",
            "telephone_number": "330-535-8181",
            "fax_number": "330-535-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 N BROADWAY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081910",
            "telephone_number": "330-535-8181",
            "fax_number": "330-535-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PSYCHOLOGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "330-535-8181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "0529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.