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SUMMIT COUNSELING SERVICES PC NPI 1619181757


NPI Information

NPI: 1619181757
Provider Name: SUMMIT COUNSELING SERVICES PC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
928 E WAYNE ST
SUITE C
SOUTH BEND, IN
ZIP 46617
Phone: (574) 286-0030
Get Directions

SUMMIT COUNSELING SERVICES PC is a clinical psychologist in South Bend, IN. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. SUMMIT COUNSELING SERVICES PC NPI is 1619181757. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

928 E WAYNE ST
SUITE C
SOUTH BEND, IN
ZIP 46617-024
Phone: (574) 286-0030
Fax: (574) 234-1994

The provider's authorized official is Nancy H Bryant .
The authorized official title is President - Owner and has the following contact phone number (574) 286-0030.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical20010389AINDIANAYes
21041C0700XSocial WorkerClinical34004946AINDIANAX
31041C0700XSocial WorkerClinical34004850AINDIANAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000000393533OTHERINDIANAANTHEM INDIV PROVIDER #
2000000373890OTHERINDIANAANTHEM GROUP NUMBER
3000000373892OTHERINDIANAANTHEM INDIV PROVIDER #
4000000485220OTHERINDIANAANTHEM INDIV PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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