Organization Active NPI

Jay D Summers, PHD, PLLC

  • Psychologist
  • Scottsdale, AZ
National Provider Identifier
1336335488
Registry record updated Sep 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3119 Issued in AZ
Legal business name
JAY D SUMMERS, PHD, PLLC
Practice address
9832 N Hayden Rd
Suite 16
Scottsdale, AZ 85258-1298
Phone
(480) 945-3475
NPI assigned
Sep 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2007

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

Authorized official

Name
Dr. Jay D Summers, PHDNPI 1356406409
Title
Owner
Phone
(480) 945-3475

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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 3119 AZ
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 3119 AZ Primary
Addiction (Substance Use Disorder) PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TA0400X 3119 AZ
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X 3119 AZ
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 3119 AZ
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 3119 AZ
Forensic PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0200X 3119 AZ
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X 3119 AZ
Rehabilitation PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TR0400X 3119 AZ

Addresses

Primary practice location

9832 N Hayden Rd
Suite 16
Scottsdale, AZ 85258-1298

Mailing address

9832 N Hayden Rd
Suite 16
Scottsdale, AZ 85258-1298
Phone (480) 945-3475

National Provider Directory

National Provider Directory

Locations

9832 N Hayden Rd
Ste 16
Scottsdale, AZ 85258
Phone (480) 945-3475

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": "1190419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190419200000",
    "number": "1336335488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9832 N HAYDEN RD",
            "address_2": "SUITE 16",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581298",
            "telephone_number": "480-945-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9832 N HAYDEN RD",
            "address_2": "SUITE 16",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852581298",
            "telephone_number": "480-945-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY D SUMMERS, PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-22",
        "last_updated": "2007-09-22",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-945-3475",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "3119",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "3119",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "3119",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "AZ",
            "license": "3119",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "3119",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "AZ",
            "license": "3119",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "AZ",
            "license": "3119",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": "AZ",
            "license": "3119",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Rehabilitation",
            "state": "AZ",
            "license": "3119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2007; 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.