DR. MARY BETH SUMMERVILLE (NPI# 1508946195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508946195 |
| Entity Type | Individual |
| Full Name | DR. MARY BETH SUMMERVILLE |
| Credential | PH.D. |
| Practice Address |
680 Douthit Ferry Rd Suite 106 Cartersville GA 30120-4150 |
| Practice Telephone | 7703348461 |
| Practice Fax Number | 7703348624 |
| Mailing Telephone | 7703348461 |
| Mailing Fax Number | 7703348624 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2012-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY001432 | GA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000462294D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710425673 | Mary Lucina Summerville | Preventive Medicine | 1515 Savannah Rd, Lewes, DE 19958-1675 | 2017-02-10 |
| 1083058689 | Mary Ellen Summerville | Social Worker | 39 N Broadway, Frmh, White Plains, NY 10601-1602 | 2013-04-25 |
| Street Address |
680 DOUTHIT FERRY RD SUITE 106 |
| City | CARTERSVILLE |
| State | GA |
| Zip Code | 30120-4150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457725079 | Healing Hand Clinic Inc | Clinic/Center | 680 Douthit Ferry Rd, Suite 103, Cartersville, GA 30120-4150 | 2015-11-19 |
| 1356608459 | Child and Family Psychotherapy Center | Psychologist | 680 Douthit Ferry Rd, Suite 106, Cartersville, GA 30120-4150 | 2012-04-13 |
| 1619141454 | Gerard E Shea Jr. | Chiropractor | 680 Douthit Ferry Rd, Suite 103, Cartersville, GA 30120-4085 | 2008-04-14 |
| 1730242116 | Elbert Payson Fields Jr. | Chiropractor | 680 Douthit Ferry Rd, Suite 103, Cartersville, GA 30120-4150 | 2006-12-18 |
| 1790843472 | Ladenna Russell | Chiropractor | 680 Douthit Ferry Rd, Suite 103, Cartersville, GA 30120-4085 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295357325 | Rhonda Ireland | Pharmacist | 125 Main Street Marketplace, Cartersville, GA 30120 | 2020-05-12 |
| 1538719273 | The Golden Ages Corporoation | Nursing Care | 41 Walden Crossing, Cartrsville, GA 30120 | 2019-09-15 |
| 1932752391 | Jennifer Elaine Mclaurin | Counselor | 911 N. Tennesse Street, Suite 107, Cartersville, GA 30120 | 2019-07-24 |
| 1164989497 | Kayla Elizabeth Hoskins | Occupational Therapist | 7 E Cherokee Ave, Cartersville, GA 30120 | 2019-02-22 |
| 1942785837 | Adriane L Alexander | Social Worker | 24 Meadowbridge Drive, Cartersville, GA 30120 | 2018-09-26 |
| 1306329362 | Ashley Elizabeth Deal | Nurse Practitioner | 958a Joe Frank Harris Parkway, Suite 101, Cartersville, GA 30120 | 2018-09-14 |
| 1376037606 | Samuel Gilreath Tumlin | Dentist | 701 N. Tennessee St., Cartersville, GA 30120 | 2018-06-20 |
| 1437669108 | Deborah Susan Luper | Counselor | 106 Forrest Avenue, A Healing Place, Cartersville, GA 30120 | 2017-10-06 |
| 1750810693 | Debbie Fearon | Registered Nurse | 523 Mountain Chase, Cartersville, GA 30120 | 2017-06-05 |
| 1023486388 | Amanda Stanley | Pharmacist | 1150 West Ave, Cartersville, GA 30120 | 2015-09-03 |
| Find all providers in zip 30120 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043307085 | William Moon | Psychologist | 17 Felton Pl Ste A, Cartersville, GA 30120-2153 | 2006-10-10 |
| 1750320834 | Julie A. Crowe | Psychologist | 807 N Tennessee St, Suite102, Cartersville, GA 30120-2895 | 2006-06-05 |
| 1770943326 | Jennifer M Johnson | Psychologist | 17 Felton Pl, Suite A, Cartersville, GA 30120-2153 | 2016-02-24 |
| 1457730491 | Gary Jonathan Hill | Psychologist | 17 Felton Pl Ste A, Cartersville, GA 30120-2153 | 2015-05-22 |
| 1417281619 | Psychology and Counseling Centers PC | Psychologist | 17 Felton Pl, Suite A, Cartersville, GA 30120-2153 | 2009-09-22 |
| 1861624918 | Tiffany A Hodges Psyd LLC | Psychologist | 807 N Tennessee St, Suite 102, Cartersville, GA 30120-2895 | 2009-08-21 |
| 1730236951 | Louisa Porter Branscomb | Psychologist | 5 S Public Sq, Suite 103, Cartersville, GA 30120-3348 | 2007-01-03 |
| 1649367582 | Paul Clements | Psychologist | 17 Felton Pl Ste A, Cartersville, GA 30120-2153 | 2006-10-10 |
| 1548357585 | Robert Norton | Psychologist | 17 Felton Pl Ste A, Cartersville, GA 30120-2153 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403462 | Molly Elizabeth Katherine Mclaren | Psychologist | 1441 Clifton Rd Ne Ste 170, Atlanta, GA 30322-1004 | 2020-10-07 |
| 1588261945 | Raven Evans | Psychologist | 1800 Lake Park Dr Se Ste 123, Smyrna, GA 30080-7639 | 2020-10-07 |
| 1255945572 | Kerri Eileen Woodward | Psychologist | 6000 Lake Forrest Dr Ste 103, Atlanta, GA 30328-5902 | 2020-09-03 |
| 1932721784 | Essential Counseling & Consulting, Inc | Psychologist | 2800 Old Spanish Trl, College Park, GA 30349-4266 | 2020-05-15 |
| 1689296980 | Natalie N Watson-singleton | Psychologist | 2124 Cheshire Bridge Rd Ne Apt 4112, Atlanta, GA 30324-5733 | 2020-05-11 |
| 1336760164 | Lauren Olivia Patterson | Psychologist | 209 Thornwood Ct, Statesboro, GA 30458-0296 | 2020-05-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1669091989 | Juliet Anne Buchwalter | Psychologist | 49 Lenox Pointe Ne Ste A, Atlanta, GA 30324-7426 | 2020-04-16 |
| 1790319549 | Thaddeus Reecesiri Reece | Psychologist | 771 Tulip Poplar Way, Lawrenceville, GA 30044-8819 | 2020-03-02 |
| 1508498395 | Walker Consulting & Psychological Services | Psychologist | 4375 Cobb Pkwy Se Ste 121, Atlanta, GA 30339-5537 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | CARTERSVILLE |
| Zip Code | 30120 |
Please comment or provide details below to improve the information on DR. MARY BETH SUMMERVILLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.