SUMMITVIEW CHILD & FAMILY SERVICES, INC. NPI 1003023243
Clinic/Center (Adolescent and Children Mental Health) in Placerville, CA
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 Name | SUMMITVIEW CHILD & FAMILY SERVICES, INC. |
| Provider Location Address | 670 PLACERVILLE DR # 2 PLACERVILLE, CA 95667 |
| Provider Mailing Address | 670 PLACERVILLE DRIVE #2 PLACERVILLE, CA 95667 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | No |
| Enumeration Date | 05-17-2007 |
| Last Update Date | 07-27-2021 |
Primary Taxonomy
| Taxonomy Code | 261QM0855X |
| Classification | Clinic/Center |
| Type | Ambulatory Health Care Facilities |
| Specialization | Adolescent and Children Mental Health |
| Taxonomy Description | 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. |
Business Address
SUMMITVIEW CHILD & FAMILY SERVICES, INC.
670 PLACERVILLE DR # 2
PLACERVILLE, CA
ZIP 95667
Phone: (530) 644-2412
Fax: (530) 644-8563
Mailing Address
SUMMITVIEW CHILD & FAMILY SERVICES, INC.
670 PLACERVILLE DRIVE #2
PLACERVILLE, CA
ZIP 95667
Phone: (530) 644-2412
Fax: (530) 644-8563
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 |
|---|---|---|
| 0938 | MEDICAID (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 |
|---|---|---|---|
| 1902950751 | SUMMITVIEW CHILD AND FAMILY SERVICES Organization | Residential Treatment Facility, Emotionally Disturbed Children | 670 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 Coordinator | 670 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 Coordinator | 670 PLACERVILLE DR # 2 PLACERVILLE, CA 95667 (530) 644-2412 |
| 1336629211 | BRETT KLAUMENZER Individual | Case Manager/Care Coordinator | 670 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 |
| 1538368626 | DR. 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 Therapist | 670 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.