SUMMITVIEW CHILD & FAMILY SERVICES, INC. NPI 1003023243

Clinic/Center (Adolescent and Children Mental Health) in Placerville, CA

NPI 1003023243 Organization Clinic/Center Adolescent and Children Mental Health

About SUMMITVIEW CHILD & FAMILY SERVICES, INC.

Summitview Child & Family Services, Inc. is a provider established in Placerville, California specializing in clinic/center (adolescent and children mental health) . The NPI number of Summitview Child & Family Services, Inc. is 1003023243 and was assigned on May 2007. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated July 2021. The authorized official of this NPI record is Corinne Morrison (Cfo)

NPI

1003023243

Provider NameSUMMITVIEW CHILD & FAMILY SERVICES, INC.
Provider Location Address670 PLACERVILLE DR # 2 PLACERVILLE, CA 95667
Provider Mailing Address670 PLACERVILLE DRIVE #2 PLACERVILLE, CA 95667
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-17-2007
Last Update Date07-27-2021


Primary Taxonomy

Taxonomy Code261QM0855X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAdolescent and Children Mental Health
Taxonomy DescriptionAn 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.

Business Address

SUMMITVIEW CHILD & FAMILY SERVICES, INC.
670 PLACERVILLE DR # 2
PLACERVILLE, CA
ZIP 95667
Phone: (530) 644-2412
Fax: (530) 644-8563

Get Directions


Mailing Address

SUMMITVIEW CHILD & FAMILY SERVICES, INC.
670 PLACERVILLE DRIVE #2
PLACERVILLE, CA
ZIP 95667
Phone: (530) 644-2412
Fax: (530) 644-8563



Authorized Official

Authorized Official Name CORINNE MORRISON
Authorized Official TitleCFO
Authorized Official Phone(530) 644-2412

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
0938MEDICAID (05)CA

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902950751SUMMITVIEW CHILD AND FAMILY SERVICES
Organization
Residential Treatment Facility, Emotionally Disturbed Children670 PLACERVILLE DR # 2
PLACERVILLE, CA 95667
(530) 644-2412
1912366485 ELISSA REFSDAL MSW, CADC-II
Individual
Social Worker (Clinical)670 PLACERVILLE DR # 2
PLACERVILLE, CA 95667
(530) 903-3305
1124458591 JAMES ESLICK
Individual
Case Manager/Care Coordinator670 PLACERVILLE DR # 2
PLACERVILLE, CA 95667
(530) 644-2412
1578054581 SASHA GOMEZ
Individual
Counselor (Mental Health)670 PLACERVILLE DR # 2
PLACERVILLE, CA 95667
(530) 644-2412
1528559523 SHAYLENE CORNELISON
Individual
Counselor (Mental Health)670 PLACERVILLE DR # 2
PLACERVILLE, CA 95667
(530) 644-2412
1811485501 TONI MORPHEW
Individual
Case Manager/Care Coordinator670 PLACERVILLE DR # 2
PLACERVILLE, CA 95667
(530) 644-2412
1336629211 BRETT KLAUMENZER
Individual
Case Manager/Care Coordinator670 PLACERVILLE DR # 2
PLACERVILLE, CA 95667
(530) 644-2412
1750632451 TIFFANY ROSALIND SMITH LCSW
Individual
Social Worker (Clinical)670 PLACERVILLE DR # 2
PLACERVILLE, CA 95667
(530) 644-2412
1538368626DR. GRACE MIRYAI MARIAN MD
Individual
Psychiatry & Neurology (Child & Adolescent Psychiatry)670 PLACERVILLE DR # 2
PLACERVILLE, CA 95667
(530) 644-2412
1841816055 KIMBERLY A GARCIA MUNIZ
Individual
Marriage & Family Therapist670 PLACERVILLE DR # 2
PLACERVILLE, CA 95667
(530) 644-2412

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.