Provider Demographics
NPI:1922719814
Name:FLYNN, SUMMER (APRN, PMHNP)
Entity type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:FLYNN
Suffix:
Gender:F
Credentials:APRN, PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 RADISSON PLAZA 8TH FLOOR
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5766
Mailing Address - Country:US
Mailing Address - Phone:332-215-6631
Mailing Address - Fax:914-999-6022
Practice Address - Street 1:1 RADISSON PLAZA 8TH FLOOR
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5766
Practice Address - Country:US
Practice Address - Phone:332-215-6631
Practice Address - Fax:914-999-6022
Is Sole Proprietor?:No
Enumeration Date:2022-12-12
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01446900363LP0808X
FL9322814363LP0808X
NYF404679363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health