Active NPI
Summer K Brunscheen, PH.D.
- Psychologist
- Ames, IA
National Provider Identifier
1629169263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1020
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1020 | IA | MD | Psychologist |
| 00887 | IA | MD | Clinical Psychologist |
| 000490 | IA | MD | Health Service Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maggie Doyle, PSYD, PLLC | Past | Accepting new patients | |
| Integrative Counseling Solutions Inc. | Past | 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.
-
- Community/Behavioral Health Agency
- West Des Moines, IA
- NPI 1942437231
-
- Clinical Psychologist
- Ames, IA
- NPI 1831926732
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.