NPIMap

Organization Active NPI

Kendra J. Summers, PHD

  • Clinical Psychologist
  • Lake Oswego, OR
National Provider Identifier
1346525300
Registry record updated Oct 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0741 Issued in OR
Legal business name
KENDRA J. SUMMERS, PHD
Practice address
9 SW Monroe Pkwy
Suite 280
Lake Oswego, OR 97035-8867
Phone
(503) 697-4829
Fax
(503) 635-8411
NPI assigned
Oct 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2011

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

Authorized official

Name
Dr. Kendra J. Summers, PHDNPI 1902901697
Title
Clinical Psychologist
Phone
(503) 697-4829

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 0741 OR Primary

Addresses

Primary practice location

9 SW Monroe Pkwy
Suite 280
Lake Oswego, OR 97035-8867

Mailing address

9 SW Monroe Pkwy
Suite 280
Lake Oswego, OR 97035-8867
Phone (503) 697-4829

National Provider Directory

National Provider Directory

Locations

9 Monroe Pkwy
Ste 280
Lake Oswego, OR 97035
Phone (503) 567-9587

Practitioners & affiliated clinicians

Practitioners 8

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": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1346525300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SW MONROE PKWY",
            "address_2": "SUITE 280",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358867",
            "telephone_number": "503-697-4829",
            "fax_number": "503-635-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SW MONROE PKWY",
            "address_2": "SUITE 280",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358867",
            "telephone_number": "503-697-4829",
            "fax_number": "503-635-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRA J. SUMMERS, PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "503-697-4829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "0741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.