STACEY A SUMMERS – Psychologist, NPI 1023290236
Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,668 CLINICAL PSYCHOLOGIST in PA
Provider Addresses for STACEY A SUMMERS
815 Chester Pike
Prospect Park, PA 190762322
Phone: (973) 264-0023
Fax: (973) 264-0022
Type: Location
1017, Walnut Street, Rittenhouse Square, Philadelphia, Philadelphia County, Pennsylvania, 19107, United States
PHILADELPHIA, PA 191022906
Phone: (215) 564-0488
Fax: (215) 564-1245
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-07-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140715002025 | I | Clinical Psychologist | PA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 1,058 | 316 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 337 | 320 | $0 |
Insurance plans in this area (ZIP 19076)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | PA | |
| - | PA | |
| Clinical Social Worker | CO | |
| Marriage And Family Therapist | PA | |
| Mental Health Counselor | FL | |
| Marriage And Family Therapist | PA | |
| Marriage And Family Therapist | PA | |
| Clinical Social Worker | PA | |
| Clinical Psychologist | PA | |
| - | PA |
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