Summit Behavioral Health Group, Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35061739 Issued in OH

Legal business name

SUMMIT BEHAVIORAL HEALTH GROUP, INC.

Practice address

66 S Miller Rd Ste 103
Fairlawn, OH 44333-4141

Phone

(330) 867-1900

Fax

(330) 699-7020

NPI assigned

Oct 5, 2006

Last updated

Aug 17, 2021By 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

Wendy M GajarskyNPI 1952485906

Title

Owner

Phone

(330) 867-1900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 7

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.

• Wendy M. Gajarsky, PSYD

  • Psychologist
  • Copley, OH
  • NPI 1952485906
  Medicare reassignment Authorized official
• Joseph J. Bendo, PHD

  • Psychologist
  • Fairlawn, OH
  • NPI 1134203185
  NPD
• Kamala Sundari Adury, M.D.

  • Psychiatry Physician
  • Medina, OH
  • NPI 1619142387
  NPD (past)
• Felicia Ann Johnson, DPM

  • Podiatrist
  • Akron, OH
  • NPI 1235278219
  NPD (past)
• Nancy J. Keogh, PHD

  • Psychologist
  • Tallmadge, OH
  • NPI 1467538900
  NPD (past)
• Constance G Krell, LISW

  • Clinical Social Worker
  • Fairlawn, OH
  • NPI 1265591119
  NPD (past)
• G Roger Sparhawk Jr., MD

  • Psychiatry Physician
  • Akron, OH
  • NPI 1639158561
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1184710394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 S MILLER RD STE 103",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334141",
            "telephone_number": "330-867-1900",
            "fax_number": "330-699-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 S MILLER RD STE 103",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334141",
            "telephone_number": "330-867-1900",
            "fax_number": "330-699-7020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 White Pond Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443201115",
            "country_code": "US",
            "telephone_number": "330-867-1900",
            "fax_number": "330-867-1922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT BEHAVIORAL HEALTH GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "GAJARSKY",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-867-1900"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35061739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Deborah Sunderland, LDO

• Psychiatry Physician in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.