Stacey A. Summers
NPI 1023290236ActiveIndividual· Psychologist· Philadelphia, PA
Psychologist with Senior Care Therapy of Pennsylvania PC, practicing in Philadelphia, Pennsylvania. Medicare paid $111,094 for services to 375 patients in 2024.
Overview
| NPI | 1023290236 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 29, 2007 |
| Last updated in NPPES | Feb 18, 2021 |
| Certified by provider | Feb 18, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PS015838 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 375 |
|---|---|
| Services billed | 1,583 across 2 procedure codes |
| Paid by Medicare | $111,094 |
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Senior Care Therapy of Pennsylvania PCProspect Park, PA · 28 clinicians
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