Summit Detox

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

SUMMIT DETOX

Practice address

3330 S. Federal Highway
3Rd Floor
Boynton Beach, FL 33435

Phone

(561) 501-5260

Fax

(561) 501-5263

NPI assigned

Oct 11, 2018

Organization subpart

No

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

Authorized official

Name

Thomas Hasson

Title

Director of Billing and Collections

Phone

(561) 237-5306

Specialties & licenses 1

Addresses

Tax ID family

Summit Detox2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Summit Detox, Inc.

  • Substance Abuse Rehabilitation Facility
  • Boynton Beach, FL
  • NPI 1851634158
  NPD tax ID

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

• Edna Volmy, FNP

  • Family Nurse Practitioner
  • Boynton Beach, FL
  • NPI 1689028755
  NPD (past)

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1104391648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 732138",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753732138",
            "telephone_number": "561-501-5260",
            "fax_number": "561-501-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 S. FEDERAL HIGHWAY",
            "address_2": "3RD FLOOR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33435",
            "telephone_number": "561-501-5260",
            "fax_number": "561-501-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT DETOX",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "HASSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING AND COLLECTIONS",
        "authorized_official_telephone_number": "561-237-5306"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Kiszka Sullivan, CRNA
• Kelsi Sullivan, PA-C
• Stephanie Sullivan
• Summers Rain LLC
• Summerville 15, LLC
• Summit Detox, Inc.
• Summitcare Mobility
• Alex Sun
• Suncoast Pharmacy of Boynton Beach
• Sunnyside Mobility LLC

• All providers in Boynton Beach, FL
• Addiction Medicine (Psychiatry & Neurology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.