SUMMIT PSYCHIATRIC SERVICES, LLC
NPI 1942818752
Nurse Practitioner - Psychiatric/Mental Health in Clarks Summit, PA

Active since July 17, 2020
395 BEDFORD ST STE C, CLARKS SUMMIT, PA 18411(570) 479-2398 Get Directions Write a Review

NPPES record last updated: July 17, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Summit Psychiatric Services, Llc NPPES

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

SUMMIT PSYCHIATRIC SERVICES, LLC (NPI 1942818752) is a healthcare organization registered as a psychiatric/mental health in Clarks Summit, Pennsylvania and active in the NPI registry since July 2020. The organization lists Denise Jemiola, Owner, as its authorized official.

NPPES Registry Identity

NPI1942818752
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSUMMIT PSYCHIATRIC SERVICES, LLC
Location Address395 BEDFORD ST STE CClarks Summit, PA 18411-1805
Mailing Address395 Bedford St Ste CClarks Summit, PA 18411-1805
Organization SubpartNo
Authorized OfficialDenise JemiolaOwner · (570) 479-2398
Enumeration DateJuly 17, 2020
NPPES CertifiedJuly 17, 2020
✔ NPI 1942818752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
395 BEDFORD ST STE C, Clarks Summit, PA 18411

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

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 Psychiatric Services, Llc 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 Summit Psychiatric Services, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1821563909
3940 LOCUST LN
Harrisburg, PA 17109
(800) 245-7277
✔ PECOS✔ Accepts Medicare102 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 Psychiatric Services, LLC's NPI number?

The NPI number for Summit Psychiatric Services, LLC is 1942818752. It was assigned to this organization in the NPPES registry on July 17, 2020.

Where is Summit Psychiatric Services, LLC located?

Summit Psychiatric Services, LLC is located at 395 Bedford St Ste C, Clarks Summit, PA 18411. The listed phone number is (570) 479-2398.

What is Summit Psychiatric Services, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Summit Psychiatric Services, LLC enrolled in Medicare?

Yes. Summit Psychiatric Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Summit Psychiatric Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Summit Psychiatric Services, LLC. 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.

When was this NPI record last updated?

The NPPES record for Summit Psychiatric Services, LLC was last updated on July 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.