Summit Behavioral Consulting LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SUMMIT BEHAVIORAL CONSULTING LLC

Practice address

1361 S Winchester Blvd Ste 109
San Jose, CA 95128-4328

Phone

(804) 436-2222

Fax

(831) 288-8763

NPI assigned

Oct 16, 2017

Organization subpart

No

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

Authorized official

Name

Meredith Wike, BCBANPI 1730493057

Title

Director

Phone

(804) 436-2222

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meredith Wike

  • Behavior Analyst
  • San Jose, CA
  • NPI 1730493057
  NPD Authorized official
• Jenny Nguyen

  • Behavior Analyst
  • San Jose, CA
  • NPI 1235683715
  NPD

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1073024196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 S WINCHESTER BLVD STE 109",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284328",
            "telephone_number": "804-436-2222",
            "fax_number": "831-288-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 S WINCHESTER BLVD STE 109",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951284328",
            "telephone_number": "804-436-2222",
            "fax_number": "831-288-8763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT BEHAVIORAL CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "WIKE",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-436-2222",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie Summerfield, MA
• Camille Dawn Summers, M.A. BCBA
• Joyce Rich Summers, NP
• Kathryn Summers
• Michael Wayne Summers, PA-C
• Summit Brain Health
• Summit Estate Recovery Centers LLC
• Summit Eye Surgeons Incorporated
• Summit Therapeutic Services
• Summus Health Clinic, Inc.

• Behavior Analyst in San Jose, CA
• Providers in San Jose, CA by specialty
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.