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SUMMIT PSYCHIATRIC SERVICES LLC
NPI 1023992203
Nurse Practitioner - Psychiatric/Mental Health in Fort Wayne, IN

Active since August 01, 2025
1025 W RUDISILL BLVD STE 229, FORT WAYNE, IN 46807(260) 433-8583 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summit Psychiatric Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT PSYCHIATRIC SERVICES LLC (NPI 1023992203) is a healthcare organization registered as a psychiatric/mental health in Fort Wayne, Indiana and active in the NPI registry since August 2025. The organization lists Heather R Bloomfield, Pmhnp, as its authorized official.

NPPES Registry Identity

NPI1023992203
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSUMMIT PSYCHIATRIC SERVICES LLC
Location Address1025 W RUDISILL BLVD STE 229Fort Wayne, IN 46807-2168
Mailing Address14826 Gateside DrFort Wayne, IN 46814-7574
Phone(260) 433-8583
Organization SubpartNo
Authorized OfficialHeather R BloomfieldPmhnp · (260) 610-3808
Enumeration DateAugust 1, 2025
Last NPPES UpdateAugust 14, 2025
NPPES CertifiedAugust 14, 2025
✔ NPI 1023992203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1025 W RUDISILL BLVD STE 229, Fort Wayne, IN 46807
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Psychiatric Services LLC's NPI number?

The NPI number for Summit Psychiatric Services LLC is 1023992203. It was assigned to this organization in the NPPES registry on August 1, 2025.

Where is Summit Psychiatric Services LLC located?

Summit Psychiatric Services LLC is located at 1025 W Rudisill Blvd Ste 229, Fort Wayne, IN 46807. The listed phone number is (260) 433-8583.

What is Summit Psychiatric Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Summit Psychiatric Services LLC was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.