Organization · Type 2 NPI

Summit Psychotherapy Associates, PC

Adolescent and Children Mental Health Clinic/Center · Irvine, CA

NPI number 1659013324 Active

Practice location

114 Pacifica, Ste #450
Irvine, CA 92618

Call (877) 825-8584 Map

Mailing address

PO Box 561482
Denver, CO 80256-1482

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center	261QM0850X	None listed
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	None listed
Psychiatric Hospital	283Q00000X	None listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

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NPI record

NPI: 1659013324
Entity type: Organization (Type 2)
Issued: Apr 12, 2022
Last updated: Jun 9, 2022
Status: Active
Subpart: Yes of Summit Psychotherapy Associates, PC

Other names

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Eating Recovery Center of California · doing business as
Eating Recovery Center of California · doing business as

Authorized official

Marina Shepel
Contracting and Credentialing Manag
(425) 214-9321

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659013324

Summit Psychotherapy Associates, PC's National Provider Identifier is 1659013324, issued on Apr 12, 2022. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in Irvine, CA. The record was last updated on Jun 9, 2022.