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SUMMIT OUTPATIENT LLC
NPI 1578444261
Clinic/Center - Adult Mental Health in Scottsdale, AZ

Active since September 09, 2025CLIA 03D2341780 · Waiver
8130 E CACTUS RD STE 510, SCOTTSDALE, AZ 85260(480) 680-7725 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summit Outpatient Llc NPPES

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

SUMMIT OUTPATIENT LLC (NPI 1578444261) is a healthcare organization registered as an adult mental health in Scottsdale, Arizona and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through April 7, 2028 and lists Michael Goldman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1578444261
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameSUMMIT OUTPATIENT LLC
Location Address8130 E CACTUS RD STE 510Scottsdale, AZ 85260-5263
Mailing Address8130 E Cactus Rd Ste 510Scottsdale, AZ 85260-5263
Phone(480) 680-7725
Organization SubpartNo
Authorized OfficialMichael GoldmanCeo · (480) 335-2859
Enumeration DateSeptember 9, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1578444261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
8130 E CACTUS RD STE 510, Scottsdale, AZ 85260
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2341780

Summit Outpatient LLC · Scottsdale, AZ
Active · expires Apr 7, 2028
CLIA Number03D2341780
Laboratory TypeOtc
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorMichael Goldman
Laboratory Phone(480) 335-2859
Laboratory LocationSummit Outpatient LLC8130 E Cactus Rd Ste 510, Scottsdale, AZ 85260
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

COURTNEY LENOREA MICKELSON MONGEON
Behavior Technician
8130 E CACTUS RD STE 510
SCOTTSDALE, AZ 85260
Maricopa County (480) 322-6342
SHARON ALSTROM
Behavior Technician
8130 E CACTUS RD STE 510
SCOTTSDALE, AZ 85260
Maricopa County (480) 322-6342
ROCIO AREVALO
Behavior Technician
8130 E CACTUS RD STE 510
SCOTTSDALE, AZ 85260
Maricopa County (602) 535-8341
RYLEE NORTHCOTT
Behavior Technician
8130 E CACTUS RD STE 510
SCOTTSDALE, AZ 85260
Maricopa County (602) 535-8341
LINDSEY SHEREE SMITH
Behavior Technician
8130 E CACTUS RD STE 510
SCOTTSDALE, AZ 85260
Maricopa County (480) 322-6342
MRS. MARLENA PASSERI LEWIS
Behavior Technician
8130 E CACTUS RD STE 510
SCOTTSDALE, AZ 85260
Maricopa County (925) 719-2034
SCOTTSDALE NEURO HEALTH LLC
Clinic/Center (Adult Mental Health)
8130 E CACTUS RD STE 510
SCOTTSDALE, AZ 85260
Maricopa County (480) 335-2859
CORTNEY GARCIA
Behavior Technician
8130 E CACTUS RD STE 510
SCOTTSDALE, AZ 85260
Maricopa County (602) 535-8341

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 Outpatient LLC's NPI number?

The NPI number for Summit Outpatient LLC is 1578444261. It was assigned to this organization in the NPPES registry on September 9, 2025.

Where is Summit Outpatient LLC located?

Summit Outpatient LLC is located at 8130 E Cactus Rd Ste 510, Scottsdale, AZ 85260. The listed phone number is (480) 680-7725.

What is Summit Outpatient LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Does Summit Outpatient LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2341780) is associated with this NPI, valid through April 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Summit Outpatient LLC was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.