Netti Jo Summer, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2014035928 Issued in MO

Practice address

1330 E Cherry St Ste 102
Springfield, MO 65802-3573

Phone

(864) 634-0937

NPI assigned

Aug 30, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: netti.summer.p1@direct.jordanvalley.nextgenshare.com

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.

• Advocates for a Healthy Community, Inc

  • Federally Qualified Health Center (FQHC)
  • Springfield, MO
  • NPI 1558303057
  Medicare reassignment NPD
• Advocates for a Healthy Community Inc

  • Federally Qualified Health Center (FQHC)
  • Buffalo, MO
  • NPI 1750179610
  NPD
• Stress Management Center, LLC

  • Clinic/Center
  • Anderson, SC
  • NPI 1750558862
  NPD
• John W Martin Jr MD PA

  • Professional Counselor
  • Anderson, SC
  • NPI 1528274669
  NPD (past)

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1811246374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 E CHERRY ST STE 102",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023573",
            "telephone_number": "864-634-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 E CHERRY ST STE 102",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023573",
            "telephone_number": "864-634-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMER",
        "first_name": "NETTI",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2014035928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nsummer@thebodhicenter.org",
            "affiliation": "N",
            "endpointDescription": "encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "1330 E Cherry St Ste 102",
            "city": "Springfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "658023573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carolyn Anne Sullivan, AC PNP
• Dan T Sullivan, M.D.
• Josie R Sullivan, APRN
• Michael Leon Sullivan, PTA
• Scott R Sullivan, DDS, MD
• Xiaoqi K. Sun, MD
• Vignesh Sundaram, MD
• Melissa Sundwall, LPC RASACII
• Sunshine Pharmacy LLC
• Sunterra Springfield Oc, LLC

• Psychologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.