| Olivia Summa, MA | |
|
68 W Church St Ste 318, Newark, OH 43055-5050 | |
| (505) 699-8962 | |
| Not Available |
| Full Name | Olivia Summa |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 4 Years |
| Location | 68 W Church St Ste 318, Newark, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538774880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY-2023-0077 (New Mexico) | Primary |
| 103TC0700X | Psychologist - Clinical | P.08638 (Ohio) | Secondary |
| Entity Name | Copper Cloud Psychotherapy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689451098 PECOS PAC ID: 9032559612 Enrollment ID: O20240430001379 |
| Mailing Address | Practice Location Address |
|---|---|
| Olivia Summa, MA 3304 James St, Santa Fe, NM 87507-5019 Ph: (505) 699-8962 | Olivia Summa, MA 68 W Church St Ste 318, Newark, OH 43055-5050 Ph: (505) 699-8962 |
Mr. John Levier Jr., Psychologist Medicare: Not Enrolled in Medicare Practice Location: 451 Edgemont Rd Apt B, Newark, OH 43055 Phone: 912-980-1975 | |
Cecil M Miller, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 60 Messimer Dr, Newark, OH 43055 Phone: 740-522-2230 Fax: 740-522-6230 | |
Karlie Anne Foy, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 621 Mount Vernon Rd, Newark, OH 43055 Phone: 740-670-7081 | |
Frank Kobe, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 116 N. 21st Street, Newark, OH 43055 Phone: 740-349-6588 | |
Chelsea Lavonne Groves, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 374 N Cedar St, Newark, OH 43055 Phone: 614-290-7840 | |
Jennifer Parks, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 68 W Church St Ste 318, Newark, OH 43055 Phone: 740-281-1777 | |
Jessica Busack, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 621 Mount Vernon Rd, Newark, OH 43055 Phone: 740-670-7076 Fax: 740-670-7039 |