Summit Psychiatric Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SUMMIT PSYCHIATRIC SERVICES LLC

Practice address

1025 W Rudisill Blvd Ste 229
Fort Wayne, IN 46807-2168

Phone

(260) 433-8583

NPI assigned

Aug 1, 2025

Last updated

Aug 14, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Heather R Bloomfield, NPNPI 1083197131

Title

Pmhnp

Phone

(260) 610-3808

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Ronelle Bloomfield, NP

  • Nurse Practitioner
  • Crown Point, IN
  • NPI 1083197131
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1023992203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14826 GATESIDE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468147574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W RUDISILL BLVD STE 229",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468072168",
            "telephone_number": "260-433-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PSYCHIATRIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "BLOOMFIELD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "260-610-3808",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Summit Spine & Sports Medicine, PC
• Summit Surgical Suites, LLC (Southwest Surgical Suites)

• Psychiatric/Mental Health Nurse Practitioner in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.