Chase Alexander Cummins, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

36009 Issued in CA

Practice address

18 Willotta Dr
Fairfield, CA 94534-1446

Phone

(707) 758-3406

Fax

(855) 582-3250

NPI assigned

Sep 24, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Ripple Effect Psychological Services Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfield, CA
  • NPI 1376433979
  NPD Authorized official

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1225709678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WILLOTTA DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341446",
            "telephone_number": "707-758-3406",
            "fax_number": "855-582-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 WILLOTTA DR",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341446",
            "telephone_number": "707-758-3406",
            "fax_number": "855-582-3250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 California Drive",
            "address_purpose": "LOCATION",
            "city": "Vacaville",
            "state": "CA",
            "postal_code": "95687",
            "country_code": "US",
            "telephone_number": "707-448-6841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUMMINS",
        "first_name": "CHASE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-24",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "36009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Cuellar
• Mikaela Sade Cuevas
• Tiffany Nicole Cuington
• Jennifer B Culp, RD
• Cristina Marissa Cummings, MS, OTR/L
• Dejanique Cunningham
• Jana Lynn Cunningham, PHARMD
• Karen Lynn Cunningham, MFTI
• Kyle Ryan Cunningham, LVN
• Jerome David Curenton, C.A.S., RASI

• Clinical Psychologist in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.