Organization Active NPI

Summit Health Associates, LLC

  • Clinical Psychologist
  • Gillette, WY
National Provider Identifier
1164670626
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
299 Issued in WY
Legal business name
SUMMIT HEALTH ASSOCIATES, LLC
Practice address
405 W Boxelder Rd Ste A1
Gillette, WY 82718-5320
Phone
(307) 686-7779
NPI assigned
Sep 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Dr. Kenneth E Bell, PHD
Title
Owner
Phone
(307) 577-3050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 299 WY Primary

Addresses

Primary practice location

405 W Boxelder Rd Ste A1
Gillette, WY 82718-5320

Mailing address

405 W Boxelder Rd Ste A1
Gillette, WY 82718-5320
Phone (307) 686-7779

National Provider Directory

National Provider Directory

Locations

405 W Boxelder Rd
Ste A1
Gillette, WY 82718
Phone (307) 685-2225

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1164670626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W BOXELDER RD STE A1",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185320",
            "telephone_number": "307-686-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W BOXELDER RD STE A1",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185320",
            "telephone_number": "307-686-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-577-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WY",
            "license": "299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.