Active NPI
Dora Summers-Ewing, PH.D
- Counseling Psychologist
- Bainbridge Island, WA
National Provider Identifier
1124431242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PY00002365
- Practice address
- 5660 NE Tolo Rd
Bainbridge Island, WA 98110-3469 - Phone
- (206) 780-8452
- NPI assigned
- Jun 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PY00002365 | WA | Primary |
Addresses
Primary practice location
5660 NE Tolo Rd
Bainbridge Island, WA 98110-3469
Mailing address
5660 NE Tolo Rd
Bainbridge Island, WA 98110-3469
Phone (206) 780-8452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY00002365 | WA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1124431242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5660 NE TOLO RD",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981103469",
"telephone_number": "206-780-8452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5660 NE TOLO RD",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981103469",
"telephone_number": "206-780-8452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS-EWING",
"first_name": "DORA",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-05",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WA",
"license": "PY00002365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.