Individual provider Active NPI

Summer Flynn, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New Rochelle, NY
National Provider Identifier
1922719814
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F404679 Issued in NY
Practice address
1 Radisson Plaza 8TH Floor
New Rochelle, NY 10801-5766
Phone
(332) 215-6631
Fax
(914) 999-6022
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26NJ01446900 NJ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9322814 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F404679 NY Primary

Addresses

Primary practice location

1 Radisson Plaza 8TH Floor
New Rochelle, NY 10801-5766

Mailing address

200 Conner CT
St Johns, FL 32259-1902
Phone (332) 215-6631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230629002192 NY Practitioner - Nurse Practitioner 3779942370 Reassigns benefits to 3 organizations
I20241109000511 NJ Practitioner - Nurse Practitioner 3779942370 Reassigns benefits to 1 organization
I20250430001974 FL Practitioner - Nurse Practitioner 3779942370 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9322814FLMDPsychiatric/Mental Health Nurse Practitioner
26NJ01446900NJMDPsychiatric/Mental Health Nurse Practitioner
F404679NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC CurrentSince May 22, 2023 Accepting new patients
Essen Medical Associates, PC CurrentSince May 22, 2023 Accepting new patients
Metropolitan Behavioral Services LLC CurrentSince Mar 25, 2025 Accepting new patients
Middlesex Psychiatry & TMS PC CurrentSince Oct 1, 2024 Accepting new patients
Shakespeare Operating LLC CurrentSince May 22, 2023 Accepting new patients
Bronx Medical Practice P.C. CurrentSince May 22, 2023 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince May 22, 2023 Accepting new patients
Orenda Psychiatry PLLC Psychiatric/Mental Health Past Accepting new patients
Northeast Family Services of New York Inc. PastSince May 8, 2024 Accepting new patients
Tolchin Psychological Services, P.C. PastSince Oct 27, 2024 Accepting new patients

Locations

4500 Salisbury Rd
Ste 490
Jacksonville, FL 32216
Phone (904) 562-1391

165 Passaic Ave
Ste 200
Fairfield, NJ 07004
Phone (800) 413-8020

777 Route 70 E
Ste G101
Marlton, NJ 08053
Phone (856) 818-4020

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

3991 White Plains Rd
Bronx, NY 10466

2015 Grand Concourse
#13202
Bronx, NY 10453

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

Organizations & group practices 10

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": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1922719814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CONNER CT",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322591902",
            "telephone_number": "332-215-6631",
            "fax_number": "914-999-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RADISSON PLAZA 8TH FLOOR",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015766",
            "telephone_number": "332-215-6631",
            "fax_number": "914-999-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYNN",
        "first_name": "SUMMER",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NJ",
            "license": "26NJ01446900",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "9322814",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F404679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.