Randall Warren Summerville, PSYD
NPI 1821180803ActiveIndividual· Psychologist, Clinical· Lombard, IL
Psychologist, Clinical (PSYD) with Gregory Malo Psyd and Associates in Neuropsychology PC, practicing in Lombard, Illinois. Medicare paid $157,449 for services to 393 patients in 2024. Lists Uchicago Medicine Adventhealth Bolingbrook and 1 other hospital as hospital affiliations.
Overview
| NPI | 1821180803 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | Yes |
| NPI issued | Sep 28, 2006 |
| Last updated in NPPES | Dec 5, 2022 |
| Certified by provider | Nov 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 071-006658 | IL |
| Clinical Neuropsychologist | 103G00000X | 071-006658 | IL |
| Psychologist, Adult Development & Aging | 103TA0700X | 071-006658 | IL |
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 (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 393 |
|---|---|
| Services billed | 3,573 across 8 procedure codes |
| Paid by Medicare | $157,449 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Gregory Malo Psyd and Associates in Neuropsychology PCLombard, IL · 2 clinicians
Hospital affiliations
- Uchicago Medicine Adventhealth BolingbrookBolingbrook, IL
- Uchicago Medicine Adventhealth HinsdaleHinsdale, IL
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All 24 clinical psychologists in Lombard · All clinical psychologists in Illinois