SUMMIT CLINICAL SERVICES PC - NPI 1518082502

Q: What is Summit Clinical Services PC's NPI number?

The NPI number for Summit Clinical Services PC is 1518082502. It was assigned to this organization in the NPPES registry on March 20, 2007.

Q: What is Summit Clinical Services PC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

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About Summit Clinical Services Pc NPPES

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

SUMMIT CLINICAL SERVICES PC (NPI 1518082502) is a healthcare organization registered as a counselor in Wheaton, Illinois and active in the NPI registry since March 2007. The organization lists Daniel R Wyma, Owner, as its authorized official.

NPPES Registry Identity

NPI1518082502

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameSUMMIT CLINICAL SERVICES PC

Location Address1761 S NAPERVILLE RD STE 200Wheaton, IL 60189-5846

Mailing Address1761 S Naperville Rd Ste 200Wheaton, IL 60189-5846 · (630) 260-0606 · Fax (630) 260-1049

Phone(630) 260-0606

Fax(630) 260-1049

Organization SubpartNo

Authorized OfficialDaniel R WymaOwner · (630) 260-0606

Enumeration DateMarch 20, 2007

Last NPPES UpdateMarch 14, 2013

✔ NPI 1518082502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Licenses✔ Licensed in IL · 071007924✔ Licensed in IL · 149014503✔ Licensed in IL · 180004554

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 180002875 (IL), 180004799 (IL)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 071003388 (IL), 071005180 (IL)

Also ListedSocial WorkerTaxonomy 104100000X · License 149000008 (IL)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 149006444 (IL), 149003718 (IL)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 166000545 (IL)

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 036124166 (IL), 036128880 (IL), 036063557 (IL), 036089544 (IL)

1761 S NAPERVILLE RD STE 200, Wheaton, IL 60189

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Other Identifiers 2

Other0002220764IL · Illinois Blue Cross Id #

Medicare ID-Type Unspecified342160IL · Medicare Group Id Number

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

M COLLEEN KING LCSW CADC

Social Worker (Clinical)