Summit Peak Recovery LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SUMMIT PEAK RECOVERY LLC

Practice address

105 1St Ave W
Glen Burnie, MD 21061-2066

Phone

(240) 762-1774

NPI assigned

Jul 15, 2026

Organization subpart

No

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

Authorized official

Name

Melissa Shade

Title

Director of Compliance

Phone

(443) 517-8724

Specialties & licenses 1

Addresses

Tax ID family

Summit Peak Recovery LLC2 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 Peak Recovery LLC

  • Community/Behavioral Health Agency
  • Hanover, MD
  • NPI 1154240851
  NPD tax ID

Locations

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

{
    "created_epoch": "1784073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1164341806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CRAIN HWY N",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 1ST AVE W",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612066",
            "telephone_number": "240-762-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT PEAK RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-15",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "SHADE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR OF COMPLIANCE",
        "authorized_official_telephone_number": "443-517-8724"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Stump, MD
• Stephanie Suesse, PT
• Kedar Arun Sule
• Marguerite G Summers, MD
• Summit Ambulatory Surgical Center, LLC
• Eric R Sundel, M.D.
• Sung E. Kim, M.D., P.a.
• Sunstone (Balance & Birch)
• Kelsey Brianna Suppa, PA-C
• Surgcenter of Glen Burnie (SurgCenter of Glen Burnie, LLC)

• Community/Behavioral Health Agency in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.