Individual provider Active NPI

Summer K Brunscheen, PH.D.

  • Psychologist
  • Ames, IA
National Provider Identifier
1629169263
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1020 Issued in IA
Practice address
319 Lincoln Way
Ames, IA 50010-3309
Phone
(515) 233-1122
Fax
(515) 233-6500
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 00887 IA
Psychologist 103T00000X 1020 IA Primary
Health Service Psychologist 103TH0100X 000490 IA

Addresses

Primary practice location

319 Lincoln Way
Ames, IA 50010-3309

Mailing address

1200 Valley West Dr
Suite 707
West Des Moines, IA 50266-1908
Phone (515) 222-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1020IAMDPsychologist
00887IAMDClinical Psychologist
000490IAMDHealth Service Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maggie Doyle, PSYD, PLLC Past Accepting new patients
Integrative Counseling Solutions Inc. PastSince Nov 1, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1629169263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR",
            "address_2": "SUITE 707",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661908",
            "telephone_number": "515-222-1999",
            "fax_number": "515-224-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 LINCOLN WAY",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500103309",
            "telephone_number": "515-233-1122",
            "fax_number": "515-233-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSCHEEN",
        "first_name": "SUMMER",
        "middle_name": "K",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00887",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "1020",
            "primary": true
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "IA",
            "license": "000490",
            "primary": false
        }
    ],
    "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 Feb 21, 2008; 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.