SUMMIT HEALTH PROFESSIONALS NPI 1649262825

NPI Information

  • NPI: 1649262825
  • Provider Name: SUMMIT HEALTH PROFESSIONALS
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 3760 WASHINGTON PKWY
    IDAHO FALLS, ID
    ZIP 83404
  • Phone: (208) 524-4953

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NPI Details

SUMMIT HEALTH PROFESSIONALS is a community behavioral health in Idaho Falls, ID. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SUMMIT HEALTH PROFESSIONALS NPI is 1649262825. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3760 WASHINGTON PKWY
IDAHO FALLS, ID
ZIP 83404-593
Phone: (208) 524-4953
Fax: (208) 524-7335

The provider's authorized official is Nikola Andersen .
The authorized official title is Physician/partner and has the following contact phone number (208) 524-4953.

The enumeration date for this NPI number is 8/16/2005 and was last updated on 11/3/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerLCSW-1311IDAHONo
2101Y00000XCounselorLCPC-323IDAHONo
32084P0800XPsychiatry & NeurologyPsychiatryM8621IDAHONo
4251S00000XCommunity/Behavioral HealthYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11105722MEDICARE ID-TYPE UNSPECIFIED
2H19414MEDICARE UPIN
3806797700MEDICAIDIDAHO
41376081MEDICARE ID-TYPE UNSPECIFIED

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: 11/21/2025

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