SUMMIT CLINICS PLLC (NPI# 1285290072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285290072 |
| Entity Type | Organization |
| Organization Name | SUMMIT CLINICS PLLC |
| Practice Address |
2115 County Road D E Ste C Maplewood MN 55109-5353 |
| Mailing Address |
2115 County Road D E Ste C100 Maplewood MN 55109-5354 |
| Practice Telephone | 6519556747 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-05-16 |
| Authorized Official Name | VAMSI DWARAM (MANAGER) |
| Authorized Official Telephone | 6519556747 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers | ||
| N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Summit Behavioral Health | Doing Business As Name - Organization |
| Street Address |
2115 COUNTY ROAD D E STE C |
| City | MAPLEWOOD |
| State | MN |
| Zip Code | 55109-5353 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063828 | Jodi May Begordis | Registered Nurse | 2586 7th Ave East, Suite 302, North St Paul, MN 55109 | 2020-05-06 |
| 1467917146 | Alejandro Diez Freire | Social Worker | 2468 Germain St, Maplewood, MN 55109 | 2019-02-06 |
| 1679099667 | Rochelle Marie Clarke | Registered Nurse | 2586 7th Ave East Suite 302, North Saint Paul, MN 55109 | 2017-08-21 |
| 1497298210 | Salams Care Residential, LLC | Home Health | 2240 Ide Ct, Maplewood, MN 55109 | 2016-11-28 |
| 1093199630 | Garry Allen | Psychologist | 2345 Ariel St North Mail Stop 13601a, Maplewood, MN 55109 | 2015-07-14 |
| 1700264751 | Matthew Seng Thao | Student in an Organized Health Care Education/Training Program | 1470 Gervais Ave, Maplewood, MN 55109 | 2015-05-11 |
| 1326458340 | Chong Chang | Counselor | 1705 Cope Ave E Ste I, Maplewood, MN 55109 | 2014-04-29 |
| 1619396488 | Leah Anne Downey | Occupational Therapist | 2399 Ariel St. N., Children's Theraplay, LLC, Maplewood, MN 55109 | 2014-04-09 |
| 1356765440 | Group Health Plan, Inc | Clinic/Center | 2520 12th Ave E, North St Paul, MN 55109 | 2014-02-10 |
| 1336560275 | Veneman Dental Care, Pa | Dentist | 1774 Cope Ave, Suite 110, Maplewood, MN 55109 | 2013-12-19 |
| Find all providers in zip 55109 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275850042 | Martin A. Silverman, M.d., P.a. | Psychiatry & Neurology | 551 Ridgewood Road, Maplewood, NJ 07040-2134 | 2010-05-03 |
| 1487896148 | Matthew Lobosco | Psychiatry & Neurology | 515 Valley St Ste 203, Maplewood, NJ 07040-4300 | 2009-03-27 |
| 1912168642 | Adam Phillip Klapperich | Psychiatry & Neurology | 2001 Beam Ave, Maplewood, MN 55109-1401 | 2008-06-25 |
| 1619095833 | Howard Lester Schwartz | Psychiatry & Neurology | 638 Prospect St, Maplewood, NJ 07040-2720 | 2007-03-26 |
| 1396717393 | Diane M Dahl | Psychiatry & Neurology | 2345 Ariel St N - Mail Stop 13601a, Healthpartners Regions Behavioral Health-maplewood, Maplewood, MN 55109-2248 | 2006-02-03 |
| 1780962670 | Justin A. Gerstner | Psychiatry & Neurology | 2001 Beam Ave, Maplewood, MN 55109-1401 | 2011-07-27 |
| 1356518906 | Chhabilall T Sharma | Psychiatry & Neurology | 2345 Ariel St N, Healthpartners Regions Behavioral Health-maplewood, Maplewood, MN 55109-2248 | 2008-05-13 |
| 1568659779 | Manjula Chilakapati | Psychiatry & Neurology | 2130 Millburn Ave, Maplewood, NJ 07040-3725 | 2007-10-02 |
| 1669595310 | Kiranben J Jadeja | Psychiatry & Neurology | 2010 Springfield Ave, Maplewood, NJ 07040-3437 | 2007-04-09 |
| 1942341268 | Martin Arnold Silverman | Psychiatry & Neurology | 551 Ridgewood Road, Maplewood, NJ 07040-2134 | 2007-02-09 |
| Find all providers in MAPLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.