Active NPI
Daniel Summers
- Clinical Psychologist
- Towson, MD
National Provider Identifier
1184300741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 06843
- Practice address
- 6501 N Charles Street
Attention: Managed Care Credentialing
Towson, MD 21204-6819 - Phone
- (410) 938-5000
- Fax
- (443) 420-9454
- NPI assigned
- Jun 27, 2023
- Last updated
- Jun 27, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 06843 | MD | Primary |
Addresses
Primary practice location
6501 N Charles Street
Attention: Managed Care Credentialing
Towson, MD 21204-6819
Mailing address
6501 N Charles Street
Attention: Managed Care Credentialing
Towson, MD 21204-6819
Phone (410) 938-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Sep 8, 2023 through Sep 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06843 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1184300741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 N CHARLES STREET",
"address_2": "ATTENTION: MANAGED CARE CREDENTIALING",
"city": "TOWSON",
"state": "MD",
"postal_code": "212046819",
"telephone_number": "410-938-5000",
"fax_number": "443-420-9454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 N CHARLES STREET",
"address_2": "ATTENTION: MANAGED CARE CREDENTIALING",
"city": "TOWSON",
"state": "MD",
"postal_code": "212046819",
"telephone_number": "410-938-5000",
"fax_number": "443-420-9454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "06843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.