Individual provider Active NPI

Ronald Raymond Summerhill, PSY.D.

  • Psychologist
  • Morristown, TN
National Provider Identifier
1336290022
Registry record updated Jan 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3987 Issued in TN
Practice address
3066 Berna Way
Morristown, TN 37814-5640
Phone
(480) 580-3234
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 3809 AZ
Adult Development & Aging Psychologist 103TA0700X 3809 AZ
Clinical Psychologist 103TC0700X 3809 AZ
Health Service Psychologist 103TH0100X 3987 TN
Intellectual & Developmental Disabilities Psychologist 103TM1800X 3987 TN
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 3987 TN Primary

Addresses

Primary practice location

3066 Berna Way
Morristown, TN 37814-5640

Mailing address

3066 Berna Way
Morristown, TN 37814-5640
Phone (480) 580-3234

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3809AZMDClinical Psychologist
3987TNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald R Summerhill, PC Clinical Neuropsychologist CurrentSince Jan 1, 2011 Accepting new patients
Carefree Behavioral Health, PLLC Clinical Past Accepting new patients
Carefree Psychological Services, PLLC Clinical Neuropsychologist Past Accepting new patients

Locations

15650 N Black Canyon Hwy
Ste 155B
Phoenix, AZ 85053
Phone (602) 978-9282

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706313600000",
    "number": "1336290022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 BERNA WAY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378145640",
            "telephone_number": "480-580-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 BERNA WAY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378145640",
            "telephone_number": "480-580-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERHILL",
        "first_name": "RONALD",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2024-01-27",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "3809",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "AZ",
            "license": "3809",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3809",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "TN",
            "license": "3987",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "TN",
            "license": "3987",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TN",
            "license": "3987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2024; 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.