NPIMap

Organization Active NPI

Summit Psychological Services PA

  • Psychologist
  • Summit, NJ
National Provider Identifier
1992893317
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SUMMIT PSYCHOLOGICAL SERVICES PA
Practice address
86 Summit Ave
Suite 210
Summit, NJ 07901-3647
Phone
(908) 273-5558
Fax
(908) 273-3355
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Authorized official

Name
Rona Seegman
Title
Office Manager
Phone
(908) 273-5558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

86 Summit Ave
Suite 210
Summit, NJ 07901-3647

Mailing address

86 Summit Ave
Suite 210
Summit, NJ 07901-3647
Phone (908) 273-5558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070326000054 NJ Part B Supplier - Clinic/Group Practice 9032213483 Receives reassigned benefits from 17 practitioners
Practice locations: Montclair, NJ; Summit, NJ

National Provider Directory

National Provider Directory

Locations

466 Pompton Ave
Cedar Grove, NJ 07009
Phone (973) 857-0567

86 Summit Ave
Ste 210
Summit, NJ 07901
Phone (908) 273-5558

51 Summit Ave
Summit, NJ 07901
Phone (908) 273-5558

482 Springfield Ave
Summit, NJ 07901
Phone (908) 273-5558

Practitioners & affiliated clinicians

Practitioners 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1992893317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 SUMMIT AVE",
            "address_2": "SUITE 210",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013647",
            "telephone_number": "908-273-5558",
            "fax_number": "908-273-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 SUMMIT AVE",
            "address_2": "SUITE 210",
            "city": "SUMMIT",
            "state": "NJ",
            "postal_code": "079013647",
            "telephone_number": "908-273-5558",
            "fax_number": "908-273-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PSYCHOLOGICAL SERVICES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "SEEGMAN",
        "authorized_official_first_name": "RONA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "908-273-5558"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Summit, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.