Organization · Type 2 NPI

Summit Counseling Services PC

Clinical Psychologist · South Bend, IN

NPI number 1619181757 Active

Practice location

928 E Wayne St, Suite C
South Bend, IN 46617-3024

Fax (574) 234-1994

Mailing address

53658 Mark Dr
Bristol, IN 46507-9710

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X20010389A (IN)
Clinical Social Worker 1041C0700X34004946A (IN)
Clinical Social Worker 1041C0700X34004850A (IN)

Clinical Psychologist: 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 discip…

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About NPI 1619181757

Summit Counseling Services PC's National Provider Identifier is 1619181757, issued on May 9, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in South Bend, IN. The record was last updated on Sep 11, 2025.