Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mary Beth Summerville, PHD

Individual provider Clinical Psychologist · NPI 1508946195

Dr. Mary Beth Summerville, PHD is a Clinical Psychologist in Town and Country, Missouri. Qualified in 1989, 37 years ago. Practices with Psychological and Behavioral Consultants LLC, a 577-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
37
Licensed in
MO
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

425 S Woods Mill Rd Ste 150
Town and Country, MO 63017-9528
Phone: (636) 939-2550
Fax: (314) 627-4978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2018043945 (MO)

Record details

NPI number1508946195
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedOctober 17, 2006
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Group practice Psychological And Behavioral Consultants Llc — 577 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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