Michael Wesley Summerlin PHD Ek Psych

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY28000 Issued in CA

Legal business name

MICHAEL WESLEY SUMMERLIN PHD EK PSYCH

Practice address

1441 Superior Ave
Ste F
Newport Beach, CA 92663-2704

Phone

(714) 494-1867

NPI assigned

Oct 1, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Michael W Summerlin, PH. DNPI 1083745152

Title

President

Phone

(949) 677-3220

Specialties & licenses 2

Addresses

Other names 1

• EK Psych Other name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Summerlin, PH.D.

  • Clinical Psychologist
  • Orange, CA
  • NPI 1083745152
  Medicare reassignment NPD Authorized official
• Helene Farr

  • Mental Health Counselor
  • Newport Beach, CA
  • NPI 1801221437
  NPD
• Beverly H Fleming, MA., LMFT

  • Marriage & Family Therapist
  • San Clemente, CA
  • NPI 1477983302
  NPD (past)
• Barbara Orozco

  • Marriage & Family Therapist
  • Santa Ana, CA
  • NPI 1063990497
  NPD (past)
• Carmen R Thomas

  • Marriage & Family Therapist
  • Torrance, CA
  • NPI 1518137561
  NPD (past)
• Lisa M Warren, MFT

  • Marriage & Family Therapist
  • Pasadena, CA
  • NPI 1760719876
  NPD (past)

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1932450889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SUPERIOR AVE",
            "address_2": "STE F",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632704",
            "telephone_number": "714-494-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SUPERIOR AVE",
            "address_2": "STE F",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632704",
            "telephone_number": "714-494-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL WESLEY SUMMERLIN PHD EK PSYCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "SUMMERLIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-677-3220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28000",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EK Psych",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "EK Psych",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Jack Grossman, M.D., Inc (BodyLogicMD of Irvine)
• Michael Keith Wensley MD Inc a Medical Corporation
• Michael Kermani, MD, Inc (Newport Eye Physicians)
• Michael P Weinstein, MD Inc.
• Michael Shahbazian MD Inc, a Professional Corporation
• Soleil Marie Michaelian
• Kimberly Michel
• Michele Lob, a Professional Corporation (DBT Center of Orange County)
• David Michelis, MD
• Michelle Aszterbaum MD Inc

• Clinical Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.