Summit Psychological Services Llc

LBN: Summit Psychological Services Llc
Summit Psychological Services Llc is an health care organization with primary practice located at 182 N Main St , Buffalo WY 82834-1727. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Summit Psychological Services Llc can be contacted via phone (307) 684-9360, or through Blaney, Timothy A via phone (307) 684-9360.

Contact Information

Primary practice address
182 N Main St Buffalo WY 82834-1727
Phone: (307) 684-9360
Fax: (307) 684-5187
Website:
Map and Directions
Authorized official contact:
Name: Blaney, Timothy A PSYD
Phone: (307) 684-9360

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 328 Wyoming

Profile Details

NPI number 1659672616
LBN Legal business name Summit Psychological Services Llc
DBA Doing business as
Authorized official Blaney, Timothy A PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2010
Last updated Nov 8th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659672616 NPPES
Wyoming MEDICAID 117880601

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