Jeremy Cummings, PH.D.
NPI 1003366832ActiveIndividual· Psychologist· Winter Haven, FL
Psychologist (PH.D.) with Heartland Community Church Inc, practicing in Winter Haven, Florida. Medicare paid $12,987 for services to 14 patients in 2024.
Overview
| NPI | 1003366832 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | Yes |
| NPI issued | Oct 5, 2016 |
| Last updated in NPPES | Mar 31, 2025 |
| Certified by provider | Mar 31, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PY 9400 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 153 across 3 procedure codes |
| Paid by Medicare | $12,987 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Heartland Community Church IncWinter Haven, FL · 5 clinicians
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