Summit Clinical Services Pc in Wheaton - Counselor
Summit Clinical Services Pc - NPI 1518082502
Summit Clinical Services Pc is a Counselor in Wheaton, Illinois. Summit Clinical Services Pc practices all healthcare services and medical treatments related to Counselor. The NPI Number for Summit Clinical Services Pc is 1518082502. The last update date is 2013-03-14.
Summit Clinical Services Pc's current location address is 1761 S Naperville Rd Ste 200, Wheaton, Illinois. You can contact this provider via phone number 6302600606 and fax number 6302601049. The mailing address for Summit Clinical Services Pc is 1761 S Naperville Rd Ste 200, Wheaton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Summit Clinical Services Pc |
|---|---|
| Address | 1761 S Naperville Rd Ste 200, Wheaton, Illinois |
| Phone Number | 6302600606 |
| Fax Number | 6302601049 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wyma R Daniel |
| Credentials | MD |
| Telephone Number | 6302600606 |
NPI Number Detail
| NPI Number | 1518082502 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2013-03-14 |
Provider Mailing Address Detail
| Address | 1761 S Naperville Rd Ste 200 |
|---|---|
| City | Wheaton |
| State | Illinois (IL) |
| Post Code | 601895846 |
| Phone Number | 6302600606 |
| Fax Number | 6302601049 |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | 180004554 |
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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 supe |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2220764 | IL | ILLINOIS BLUE CROSS ID # |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Summit Clinical Services Pc by the Centers for Medicare & Medicaid Services?
The Summit Clinical Services Pc has been assigned the NPI (National Provider Identifier) 1518082502 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Summit Clinical Services Pc's facilities are situated?
The facilities of Summit Clinical Services Pc are physically located at the following address: 1761 S Naperville Rd Ste 200, Wheaton, IL, 601895846.
What is the area of specialization for Summit Clinical Services Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Summit Clinical Services Pc is Counselor, and the corresponding taxonomy code that categorizes this area of expertise is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1518082502 to Summit Clinical Services Pc?
The Centers for Medicare & Medicaid Services originally issued the 1518082502 to Summit Clinical Services Pc on 2007-03-20.
When was the information regarding Summit Clinical Services Pc most recently updated?
The details pertaining to the Summit Clinical Services Pc, including its address, specialty, and other relevant information, were last refreshed on 2013-03-14.