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SUMMIT PROVIDERS GROUP
NPI 1982466868
Nurse Practitioner - Psychiatric/Mental Health in Scottsdale, AZ

Active since January 26, 2024CLIA 03D2299710 · Waiver
14919 E CAVEDALE DR, SCOTTSDALE, AZ 85262(480) 335-2859 Get Directions Write a Review

NPPES record last updated: June 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Summit Providers Group NPPES

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

SUMMIT PROVIDERS GROUP (NPI 1982466868) is a healthcare organization registered as a psychiatric/mental health in Scottsdale, Arizona and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through February 25, 2028 and lists Michael Goldman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1982466868
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameSUMMIT PROVIDERS GROUP
Location Address14919 E CAVEDALE DRScottsdale, AZ 85262-7899
Mailing AddressPo Box 6134Chandler, AZ 85246-6134 · (480) 335-2859
Phone(480) 335-2859
Organization SubpartNo
Authorized OfficialMichael GoldmanCeo · (480) 335-2859
Enumeration DateJanuary 26, 2024
Last NPPES UpdateJune 26, 2025
NPPES CertifiedJune 26, 2025
✔ NPI 1982466868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X
Also ListedPsychiatry & Neurology · Addiction MedicineTaxonomy 2084A0401X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X
14919 E CAVEDALE DR, Scottsdale, AZ 85262
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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

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 03D2299710

Summit Providers Group LLC · Chandler, AZ
Active · expires Feb 25, 2028
CLIA Number03D2299710
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorMichael Goldman
Laboratory Phone(480) 335-2859
Laboratory LocationSummit Providers Group LLC700 N Dobson Rd Unit 25, Chandler, AZ 85224
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

THE SUMMIT SANCTUARY LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
14919 E CAVEDALE DR
SCOTTSDALE, AZ 85262
Maricopa County (480) 335-2859

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 Providers Group's NPI number?

The NPI number for Summit Providers Group is 1982466868. It was assigned to this organization in the NPPES registry on January 26, 2024.

Where is Summit Providers Group located?

Summit Providers Group is located at 14919 E Cavedale Dr, Scottsdale, AZ 85262. The listed phone number is (480) 335-2859.

What is Summit Providers Group's specialty?

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

Does Summit Providers Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2299710) is associated with this NPI, valid through February 25, 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 Providers Group was last updated on June 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.