SUMMIT RESIDENTIAL
NPI 1497135669
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Tucson, AZ
About Summit Residential NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMIT RESIDENTIAL (NPI 1497135669) is a healthcare organization registered as a substance abuse treatment, children in Tucson, Arizona and active in the NPI registry since June 2015. The organization lists Rose Lopez, President And Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 1
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 Residential is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Summit Residential, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (20)
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 Intermountain Centers For Human Development Inc.'s NPI number?
The NPI number for Intermountain Centers For Human Development Inc. is 1497135669. It was assigned to this organization in the NPPES registry on June 3, 2015. The provider is also known as Summit Residential.
Where is Intermountain Centers For Human Development Inc. located?
Intermountain Centers For Human Development Inc. is located at 2502 N Dodge Blvd Ste 190A, Tucson, AZ 85716. The listed phone number is (520) 618-8800.
What is Intermountain Centers For Human Development Inc.'s specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.
Is Intermountain Centers For Human Development Inc. enrolled in Medicare?
Yes. Intermountain Centers For Human Development Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Intermountain Centers For Human Development Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 8 Medicare specialties reassign their Medicare billing to Intermountain Centers For Human Development Inc.. 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. The largest specialties are Nurse Practitioner (12), Mental Health Counselor (2) and Clinical Psychologist (1). Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Intermountain Centers For Human Development Inc. accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Intermountain Centers For Human Development Inc. 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 Intermountain Centers For Human Development Inc. was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Summit Residential · NPI 1497135669
Substance Abuse Treatment, Children organization in Tucson, Arizona. Organization record, active in the CMS NPPES registry since June 3, 2015.
## Identity
- **NPI:** 1497135669 (Entity type: Organization)
- **Enumerated:** June 3, 2015
- **Primary specialty:** Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children · taxonomy 3245S0500X
- **Legal business name:** Intermountain Centers For Human Development Inc.
- **Organization subpart:** No
- **Authorized official:** Rose Lopez, PRESIDENT AND CEO
## Practice location
- **Address:** 2502 N DODGE BLVD STE 190A, Tucson, AZ 85716-2671
- **Phone:** (520) 618-8800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (12), Mental Health Counselor (2), Clinical Psychologist (1); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 19, 2023
- **Other identifiers:** Other BH9011 (AZ)
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Source: [NPI Profile](https://npiprofile.com/npi/1497135669) · Data from the CMS NPPES public registry.