Active NPI
Jay D Summers, PHD, PLLC
- Psychologist
- Scottsdale, AZ
National Provider Identifier
1336335488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3119
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jay D Summers, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 3119 | AZ | |
| Psychologist | 103T00000X | 3119 | AZ | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 3119 | AZ | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 3119 | AZ | |
| Clinical Psychologist | 103TC0700X | 3119 | AZ | |
| Counseling Psychologist | 103TC1900X | 3119 | AZ | |
| Forensic Psychologist | 103TF0200X | 3119 | AZ | |
| Health Service Psychologist | 103TH0100X | 3119 | AZ | |
| Rehabilitation Psychologist | 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 DirectoryLocations
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.