Organization Active NPI

Summer M Allen-Portsche, PC

  • Clinical Psychologist
  • Lincoln, NE
National Provider Identifier
1306216445
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
744 Issued in NE
Legal business name
SUMMER M ALLEN-PORTSCHE, PC
Doing business as
Summer M Allen-Portsche PC
Practice address
2001 Pine Lake Rd Ste 350
Lincoln, NE 68512-3651
Phone
(402) 560-0834
NPI assigned
Oct 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Authorized official

Name
Summer M Allen-Portsche, PHDNPI 1316185226
Title
President
Phone
(402) 560-0834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 744 NE Primary

Addresses

Primary practice location

2001 Pine Lake Rd Ste 350
Lincoln, NE 68512-3651

Mailing address

2001 Pine Lake Rd Ste 350
Lincoln, NE 68512-3651
Phone (402) 560-0834

Other names 1

  • Summer M Allen-Portsche PC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151120002227 NE Part B Supplier - Clinic/Group Practice 6204136393 Receives reassigned benefits from 1 practitioner
Practice locations: Lincoln, NE

National Provider Directory

National Provider Directory

Locations

600 N Cotner Blvd
Ste 307
Lincoln, NE 68505
Phone (402) 434-9000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1306216445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 PINE LAKE RD STE 350",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123651",
            "telephone_number": "402-560-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 PINE LAKE RD STE 350",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685123651",
            "telephone_number": "402-560-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER M ALLEN-PORTSCHE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "ALLEN-PORTSCHE",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-560-0834",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summer M Allen-Portsche PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.