Summit Psychological Services PA

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

Last updated

Aug 10, 2009By the provider in NPPES

Organization subpart

No

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

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Clarissa Dambra, LCSW

  • Clinical Social Worker
  • Jersey City, NJ
  • NPI 1841566825
  Medicare reassignment Care Compare group NPD
• Kevin Gerety, LCSW

  • Social Worker
  • Summit, NJ
  • NPI 1225671613
  Medicare reassignment Care Compare group NPD
• Alison W Johnson, PSYD

  • Psychologist
  • Summit, NJ
  • NPI 1730277161
  Medicare reassignment Care Compare group NPD
• Jeffrey S Kahn, PHD CGP DABPS

  • Psychologist
  • Summit, NJ
  • NPI 1265520696
  Medicare reassignment Care Compare group NPD
• Michael Steven Keren, PSY.D

  • Clinical Psychologist
  • Summit, NJ
  • NPI 1376717827
  Medicare reassignment Care Compare group NPD
• Gerald E Muller Jr., LPC

  • Mental Health Counselor
  • Summit, NJ
  • NPI 1639751993
  Medicare reassignment Care Compare group NPD
• Bryan I. Proano Redmond, LCSW

  • Clinical Social Worker
  • Summit, NJ
  • NPI 1609339126
  Medicare reassignment Care Compare group NPD
• Peter Reavey, PHD

  • Psychologist
  • Summit, NJ
  • NPI 1962894899
  Medicare reassignment Care Compare group NPD
• Tiffany Sandoval, PH.D.

  • Psychologist
  • Summit, NJ
  • NPI 1942575766
  Medicare reassignment Care Compare group NPD
• James F Weiss, PHD

  • Psychologist
  • Summit, NJ
  • NPI 1972691301
  Medicare reassignment Care Compare group NPD
• Diane Robin Bader-Anderson, SW

  • Clinical Social Worker
  • Sarasota, FL
  • NPI 1215294954

  NJ

  Medicare reassignment Care Compare group NPD
• Vasudev Dixit, PHD

  • Counseling Psychologist
  • Summit, NJ
  • NPI 1437584133
  Medicare reassignment Care Compare group

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": []
}

• Summit Oral and Maxillofacial Surgery,PA
• Summit Pediatric Associates, P.a.
• Summit Periodontics and Dental Implants
• Summit Physical Therapy
• Summit Plastic Surgery, PC
• Summit Psychotherapy Association
• Summit Sport and Spine LLC (Summit Sport & Spine)
• Summit Urologic Associates
• Sunrise of Summit, LLC (Sunrise of Summit)
• Robert Sussman, M.D.

• Psychologist in Summit, NJ
• Providers in Summit, NJ by specialty
• Psychologist in New Jersey

• 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.