Individual provider Active NPI

Summer Jay Langley, PSY.D.

  • Clinical Psychologist
  • Soldedad, CA
National Provider Identifier
1689706509
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31828 Issued in CA
Practice address
US. 101
Soldedad, CA 93960-9002
Phone
(831) 678-3951
NPI assigned
Mar 9, 2007
Last updated
Jun 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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 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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31828CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nebula Health, LLC CurrentSince Aug 9, 2023 Accepting new patients
St. Joseph Center Past Accepting new patients
St. Joseph Center Past Accepting new patients
CTF Pharmacy PastSince Jun 5, 2022 Accepting new patients
Nebula Health, P. C. PastSince Nov 12, 2023 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.

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

Verify at the official NPI Registry.