SUMMIT CLINICS PLLC
NPI 1285290072
Psychiatry & Neurology - Psychiatry in Maplewood, MN

Active since May 16, 2019
2115 COUNTY ROAD D E STE C, MAPLEWOOD, MN 55109(651) 955-6747 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Summit Clinics Pllc NPPES

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

SUMMIT CLINICS PLLC (NPI 1285290072), doing business as Summit Behavioral Health, is a healthcare organization registered as a psychiatry in Maplewood, Minnesota and active in the NPI registry since May 2019. The organization lists Vamsi Dwaram, Manager, as its authorized official.

NPPES Registry Identity

NPI1285290072
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameSUMMIT CLINICS PLLC
Location Address2115 COUNTY ROAD D E STE CMaplewood, MN 55109-5353
Mailing Address2115 County Road D E Ste C100Maplewood, MN 55109-5354
Organization SubpartNo
Authorized OfficialVamsi DwaramManager · (651) 955-6747
Enumeration DateMay 16, 2019
✔ NPI 1285290072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X
2115 COUNTY ROAD D E STE C, Maplewood, MN 55109

Other Names 1

Doing Business AsSummit Behavioral Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Summit Clinics Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Summit Clinics PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1013487552
2115 COUNTY ROAD D E STE C100
Maplewood, MN 55109
(651) 358-7020
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1922628791
2115 COUNTY ROAD D E STE C100
Maplewood, MN 55109
(651) 358-7020
✔ PECOS✔ Accepts Medicare1.7 mi
Psychiatry
NPI 1992966188
640 JACKSON ST
Saint Paul, MN 55101
(651) 254-4786
✔ PECOS✔ Accepts Medicare5.3 mi
Nurse Practitioner
NPI 1457914160
2265 COMO AVE
Saint Paul, MN 55108
(866) 821-0821
✔ PECOS✔ Accepts Medicare8.6 mi
General Practice
NPI 1265639140
1836 SOUTH AVE
La Crosse, WI 54601
(608) 782-7300
✔ PECOS✔ Accepts Medicare122 mi
Psychiatry
NPI 1871835900
14855 BLANCO RD STE 355
San Antonio, TX 78216
(210) 896-4539
✔ PECOS✔ Accepts Medicare1,106 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Clinics PLLC's NPI number?

The NPI number for Summit Clinics PLLC is 1285290072. It was assigned to this organization in the NPPES registry on May 16, 2019. The provider is doing business as Summit Behavioral Health.

Where is Summit Clinics PLLC located?

Summit Clinics PLLC is located at 2115 County Road D E Ste C, Maplewood, MN 55109. The listed phone number is (651) 955-6747.

What is Summit Clinics PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Summit Clinics PLLC enrolled in Medicare?

Yes. Summit Clinics PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Summit Clinics PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Summit Clinics PLLC, in Clinical Psychologist, General Practice, Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Summit Clinics PLLC accept?

Health plans from HealthPartners and Sanford Health Plan list Summit Clinics PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Summit Clinics PLLC was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.