Active NPI
Summer Jay Langley, PSY.D.
- Clinical Psychologist
- Soldedad, CA
National Provider Identifier
1689706509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 31828
- Practice address
- US. 101
Soldedad, CA 93960-9002 - Phone
- (831) 678-3951
- NPI assigned
- Mar 9, 2007
- Last updated
- Jun 3, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 31828 | CA | Primary |
Addresses
Primary practice location
US. 101
Soldedad, CA 93960-9002
Mailing address
PO Box 686
Soledad, CA 93960-0686
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31828 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nebula Health, LLC | Current | Accepting new patients | |
| St. Joseph Center | Past | Accepting new patients | |
| St. Joseph Center | Past | Accepting new patients | |
| CTF Pharmacy | Past | Accepting new patients | |
| Nebula Health, P. C. | Past | Accepting new patients |
Locations
23228 Madero
Mission Viejo, CA 92691
Phone (949) 454-3940
5900 Brockton Ave
Riverside, CA 92506
Phone (800) 992-0901
806 Avenida Pico
#I330
San Clemente, CA 92673
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Riverside, CA
- NPI 1194479501
-
- Psychiatric Residential Treatment Facility
- Soledad, CA
- NPI 1699801613
-
- Psychiatry Physician
- Riverside, CA
- NPI 1770357147
-
- Community/Behavioral Health Agency
- Santa Monica, CA
- NPI 1043416993
-
- Case Management Agency
- Santa Monica, CA
- NPI 1326377227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1689706509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 686",
"city": "SOLEDAD",
"state": "CA",
"postal_code": "939600686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "US. 101",
"city": "SOLDEDAD",
"state": "CA",
"postal_code": "939609002",
"telephone_number": "831-678-3951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGLEY",
"first_name": "SUMMER",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2022-06-03",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "31828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.