Summit Psychiatry PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SUMMIT PSYCHIATRY PLLC

Practice address

5961 S Gemstone Dr
Chandler, AZ 85249-5803

Phone

(480) 719-0098

NPI assigned

Sep 28, 2023

Last updated

Oct 4, 2023By 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

Susan Chacko, PMHNP-BCNPI 1609559210

Title

Pmhnp

Phone

(480) 719-0098

Specialties & licenses 1

Addresses

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.

• Susan T Chacko

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
  • NPI 1609559210
  NPD Authorized official

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1073392957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5961 S GEMSTONE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5961 S GEMSTONE DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495803",
            "telephone_number": "480-719-0098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PSYCHIATRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "CHACKO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "480-719-0098",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Cathleen Sullivan, M.S.W./A.S.W.
• Tracey Sullivan
• Katherine Lee Sulser, MA, CCC-SLP
• Alisa Joy Summers, ND
• Patricia L Summers, D.C.
• Sun Life Family Health Center, Inc (Sun Life Center for Women)
• Sun Meadow Family Medicine Inc
• Sun Valley Eye Care, Inc
• Sun Valley Integrative Health, PLLC
• Sun Valley Pediatric and Family Urgent Care PC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.