Summer Brown, a Nursing Corporation

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SUMMER BROWN, A NURSING CORPORATION

Practice address

24351 Regina St
Mission Viejo, CA 92691-4714

Phone

(714) 655-3365

NPI assigned

Feb 11, 2021

Organization subpart

No

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

Authorized official

Name

Summer Brown, PMHNPNPI 1518587054

Title

President

Phone

(949) 432-6463

Specialties & licenses 1

Addresses

Other names 1

• Gerontologi Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Summer Brown a Nursing Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Summer Brown, a Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Mission Viejo, CA
  • NPI 1215629357
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Summer Brown, a Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • Mission Viejo, CA
  • NPI 1215629357
  NPPES parent name

Practitioners 1

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

• Summer Brown, PMHNP-BC, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Mission Viejo, CA
  • NPI 1518587054
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1407449374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24351 REGINA ST",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914714",
            "telephone_number": "714-655-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24351 REGINA ST",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926914714",
            "telephone_number": "714-655-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER BROWN, A NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-432-6463",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerontologi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Sugino, DO
• Joy Sullivan, M.A.
• Lisa Sullivan
• Sullivans Detox and Residential Treatment LLC
• Summer Brown, a Nursing Corporation
• Aykanush Sungulyan, O.D.
• Srinivasu Ammisetti Sunkara, MD
• Sunny Bay Home Care LLC
• Sunshine Behavioral Health LLC
• John Stanley Supance, MD

• Psychiatric/Mental Health Nurse Practitioner in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.