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

Individual provider Psychologist · NPI 1023290236

Stacey A Summers is a Clinical Psychologist in Philadelphia, Pennsylvania. Qualified in 2004, 22 years ago. Practices with Senior Care Therapy of Pennsylvania PC, a 29-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
22
Licensed in
PA
In the registry since
2007
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Practice location Address checks out

1601 Walnut St Ste 1017
Philadelphia, PA 19102-2906
Phone: (215) 564-0488
Fax: (215) 564-1245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 815 Chester Pike, Prospect Park, PA 19076-2322 — (973) 264-0023

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS015838 (PA)

Record details

NPI number1023290236
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 29, 2007
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Senior Care Therapy Of Pennsylvania Pc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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