TIMOTHY M. REISENAUER PHD
NPI 1568525251
Psychologist - Clinical in Mill Creek, WA

Q: What is Summit Consulting Group, Inc.'s NPI number?

The NPI number for Summit Consulting Group, Inc. is 1568525251. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider is doing business as Timothy M. Reisenauer Phd.

Q: What is Summit Consulting Group, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since December 18, 2006

15418 MAIN STREET, SUITE 301, MILL CREEK, WA 98012(425) 358-3262(425) 357-0924 Get Directions Write a Review

NPPES record last updated: April 16, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Timothy M. Reisenauer Phd NPPES

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

TIMOTHY M. REISENAUER PHD (NPI 1568525251) is a healthcare organization registered as a clinical in Mill Creek, Washington and active in the NPI registry since December 2006. The organization lists Timothy M Reisenauer, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1568525251

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSUMMIT CONSULTING GROUP, INC.

Location Address15418 MAIN STREET, SUITE 301Mill Creek, WA 98012

Mailing Address15418 Main Street, Suite 301Mill Creek, WA 98012 · (425) 358-3262 · Fax (425) 357-0924

Phone(425) 358-3262

Fax(425) 357-0924

Organization SubpartNo

Authorized OfficialTimothy M ReisenauerClinical Psychologist · (425) 385-3262

Enumeration DateDecember 18, 2006

Last NPPES UpdateApril 16, 2014

✔ NPI 1568525251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in WA · 1287

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

15418 MAIN STREET, Mill Creek, WA 98012

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Other Names 1

Doing Business AsTimothy M. Reisenauer Phd

Other Identifiers 1

Medicare ID-Type Unspecified8801352WA · Medicare

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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)

Timothy M. Reisenauer Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Timothy M. Reisenauer Phd, which bills Medicare for the services this clinician delivers.

Clinician (1)

Timothy Reisenauer, PH.D.

Clinical Psychologist

NPI 1407032063

15418 MAIN ST UNIT 301
Mill Creek, WA 98012

(425) 385-2362

✔ PECOS✔ Accepts MedicareSame address

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 Consulting Group, Inc.'s NPI number?

The NPI number for Summit Consulting Group, Inc. is 1568525251. It was assigned to this organization in the NPPES registry on December 18, 2006. The provider is doing business as Timothy M. Reisenauer Phd.

Where is Summit Consulting Group, Inc. located?

Summit Consulting Group, Inc. is located at 15418 Main Street Suite 301, Mill Creek, WA 98012. The listed phone number is (425) 358-3262.

What is Summit Consulting Group, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Summit Consulting Group, Inc. enrolled in Medicare?

Yes. Summit Consulting Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Summit Consulting Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Summit Consulting Group, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Summit Consulting Group, Inc. accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Summit Consulting Group, 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 Summit Consulting Group, Inc. was last updated on April 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.