SUMMIT PROVIDERS GROUP NPI 1982466868

NPI Information

  • NPI: 1982466868
  • Provider Name: SUMMIT PROVIDERS GROUP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • CLIA Number: 03D2299710
  • Address: 14919 E CAVEDALE DR
    SCOTTSDALE, AZ
    ZIP 85262
  • Phone: (480) 335-2859

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NPI Details

SUMMIT PROVIDERS GROUP is a psychiatric/mental health nurse practitioner in Scottsdale, AZ. SUMMIT PROVIDERS GROUP NPI is 1982466868. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14919 E CAVEDALE DR
SCOTTSDALE, AZ
ZIP 85262-899
Phone: (480) 335-2859

The provider's authorized official is Michael Goldman .
The authorized official title is Ceo and has the following contact phone number (480) 335-2859.

The CLIA number assigned to this NPI record is 03D2299710 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2024 and was last updated on 6/26/2025.

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
12084A0401XPsychiatry & NeurologyAddiction MedicineNo
2207R00000XInternal MedicineNo
3207RA0401XInternal MedicineAddiction MedicineNo
42083A0300XPreventive MedicineAddiction MedicineNo
52084P0800XPsychiatry & NeurologyPsychiatryNo
62084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
7363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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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