Mr. Randall Warren Summerville is a Lombard, Illinois based psychologist with 22 years of experience in Psychology. He completed his graduation in 2002. He is also affiliated with hospitals like and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Randall Warren Summerville is 071-006658 for Clinical Psychology in Illinois. His current practice location is 477 E Butterfield Rd Ste 102, Lombard. Patients can reach him at 630-424-8900 or can fax him at 630-424-9017. Mr. Randall Warren Summerville is PSYD in Psychology and his NPI number (Unique professional ID assigned by NPPES) is 1821180803. Mr. Randall Warren Summerville is specialized in psychological testing and evaluating or assessing patient's personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning. Accordingly, he performs counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy. He can diagnose and treat mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability by psycheducational evaluation, therapy, remediation, and consultation.
Complete Profile:
Mr. Randall Warren Summerville speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mr. Randall Warren Summerville
Specialization:
Psychology
Gender:
Male
Credentials:
PSYD
Experience:
22+ years
Medical School Attended:
Other
Graduation Year:
2002
Accepts Medicare Assignment:
Yes
Practice Address:
477 E Butterfield Rd Ste 102, Lombard, Illinois, 60148-4880
Phone:
630-424-8900
Fax:
630-424-9017
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0244275881
Enrollment ID:
I20050623000418
NPI Number:
1821180803
NPI Enumeration Date:
28 Sep, 2006
NPI Last Update On:
05 Dec, 2022
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Randall Warren Summerville are as mentioned below.
License Number
Specialization
State
Status
071-006658
Clinical Psychology
Illinois
Primary
071-006658
Clinical Neuropsychologist
Illinois
Secondary
071-006658
Adult Development & Aging Psychology
Illinois
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(140231)
Naperville, IL
Acute Care Hospital
(140288)
Downers grove, IL
Acute Care Hospital
(140054)
Berwyn, IL
Acute Care Hospital
(140065)
La grange, IL
Acute Care Hospital
(140122)
Hinsdale, IL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mr. Randall Warren Summerville is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Gregory Malo Psyd And Associates In Neuropsychology Pc (5799881488)
3
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Randall Warren Summerville such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
02233000
Other
Illinois
BCBS OF IL GROUP PROVIDER
071-0006658
Other
Illinois
PROFESSIONAL LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Randall Warren Summerville 477 E Butterfield Rd Ste 102, Lombard, Illinois
Zip:
60148-4880
Phone Number:
630-424-8900
Fax Number:
630-424-9017
Patients can reach Mr. Randall Warren Summerville at 477 E Butterfield Rd Ste 102, Lombard, Illinois or can call to book an appointment on 630-424-8900.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.