Individual provider Active NPI

Gary J Schummer, M.DIV.,PH.D.

  • Clinical Psychologist
  • Torrance, CA
National Provider Identifier
1669416848
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY11860 Issued in CA
Practice address
24050 Madison St
111
Torrance, CA 90505-6015
Phone
(310) 378-0547
Fax
(310) 378-0347
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY11860 CA Primary

Addresses

Primary practice location

24050 Madison St
111
Torrance, CA 90505-6015

Mailing address

24050 Madison St
111
Torrance, CA 90505-6015
Phone (310) 378-0547

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gary J Schummer PHD Apc Clinical PastSince Mar 9, 1992 Accepting new patients
Pmni, Inc. Clinical 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.

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1669416848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24050 MADISON ST",
            "address_2": "111",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056015",
            "telephone_number": "310-378-0547",
            "fax_number": "310-378-0347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24050 MADISON ST",
            "address_2": "111",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056015",
            "telephone_number": "310-378-0547",
            "fax_number": "310-378-0347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMMER",
        "first_name": "GARY",
        "middle_name": "J",
        "credential": "M.DIV.,PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY11860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.