Organization Active NPI

Summer K. Brunscheen, LLC

  • Counseling Psychologist
  • Ames, IA
National Provider Identifier
1609320902
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
001020 Issued in IA
Legal business name
SUMMER K. BRUNSCHEEN, LLC
Practice address
2515 University Blvd Ste 102
Ames, IA 50010-8628
Phone
(515) 450-7532
Fax
(515) 292-2514
NPI assigned
Aug 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Authorized official

Name
Dr. Summer Kaye Brunscheen, PHD, LICPSYCHOLOGIST
Title
Owner/Sole Member
Phone
(515) 450-7532

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 001020 IA Primary

Addresses

Primary practice location

2515 University Blvd Ste 102
Ames, IA 50010-8628

Mailing address

810 Yuma Ave
Ames, IA 50014-3620
Phone (515) 450-7532

National Provider Directory

National Provider Directory

Locations

2515 University Blvd
Ste 102
Ames, IA 50010
Phone (515) 450-7532

Practitioners & affiliated clinicians

Practitioners 2

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": "1470268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1609320902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 YUMA AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500143620",
            "telephone_number": "515-450-7532",
            "fax_number": "515-292-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 UNIVERSITY BLVD STE 102",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108628",
            "telephone_number": "515-450-7532",
            "fax_number": "515-292-2514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER K. BRUNSCHEEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-04",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "BRUNSCHEEN",
        "authorized_official_first_name": "SUMMER",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OWNER/SOLE MEMBER",
        "authorized_official_telephone_number": "515-450-7532",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LICPSYCHOLOGIST"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "IA",
            "license": "001020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.